Date : 00.00.00
Name of the Patient : Abc Xyz Haldalmn / F / 20 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O TBM since May 0000. On AKT since then.
Now C/O mild headaches.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick T1 Weighted and FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
There is an adhesion along the medial wall of the left lateral ventricle superiorly (scan 104.13).
There is moderate dilatation of the left lateral ventricle with periventricular white matter hyperintensity on the proton, T2 Weighted and FLAIR images. There is slight fullness of the fourth, right lateral and third ventricles.
An intermediate signal intensity area on the T1 Weighted images is seen in the suprasellar cistern. This is slightly hyperintense on the proton and T2 Weighted images.
There is a focal hypointense signal on the T1 Weighted images in the left parathird ventricular region, inferiorly which appears hyperintense on the proton, T2 Weighted and FLAIR images. Perilesional white matter hyperintense signal on the proton, T2 Weighted and FLAIR images is noted around this lesion.
The rest of the basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
As compared to the previous MRI (study no:00006) dated 00.00.00
1. There is no significant change in the size of the ventricles or the adhesion in the left lateral ventricle.
2. The exudates in the suprasellar cisterns are still identified.
3. Lesion in the left parathird ventricular region may represent resolved/resolving granuloma with perilesional gliotic changes.