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sb/hs/nl/nl

Name of the Patient : Abc Xyzndra Shlmn / M / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and seizures since 3 years.
Past H/O ? neurocysticercosis.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T2 Weighted coronal images.
5 mm thick FLAIR coronal images.

OBSERVATION :

There is a linear hyperintense signal on the proton and T2 Weighted images in the right high parietal cortex (scans 102.19, 103.19). This lesion appears hypointense to normal white matter on the T1 Weighted images (scan 104.19).

The hippocampal complex on either side is unremarkable.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Pansinusitis is noted.

IMPRESSION :

Altered signal in the right high parietal cortex as described most likely represents a gliotic/encephalomalacic focus (? the sequelae of a previously resolved granuloma/ischemic change).

No previous investigations were available for review/comparison.



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