ke.hs.nlnl.rg.






Name of the Patient : Abc XyzJailmn / F / 9 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.

EXAMINATION :

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 FLAIR and 7 mm thick Fast Scan (T2 *) coronal images.

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a subcentimeter sized, well circumscribed lesion in the left high fronto-parietal parafalcine region which is seen to follow CSF signal intensity characteristics on all the pulse sequences. A hyperintense speck on the T1 Weighted images within the lesion may represent a scolex. There is surrounding edema with effacement of the adjacent sulci. A suspicious smaller lesion is seen adjacent to this lesion. There is indentation and inferior displacement of the posterior body of the left lateral ventricle.

There is another lesion that is hyperintense to CSF on all the pulse sequences with a hypointense rim on the T2 Weighted images within the right frontal parafalcine region. It has a crenated margin with presence of perilesional edema.




The right lateral, third and 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 scan.

Inflammatory changes are noted in the left mastoid air cells.

IMPRESSION :

The MRI features are suggestive of a lesion in the left fronto-parietal parafalcine region and following the signal characteristics of cysticercus in the colloid-vesicular stage. Another lesion is seen in the right frontal parafalcine region and may represent a cysticercus in the late colloid-vesicular or early granular-nodular stage. These are likely to represent tuberculomas.