Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 21 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O TB of left TM joint. Craniotomy with excision of tuberculoma in left occipital lobe done on 00.00.00.
For follow up. On AKT since May 0000.

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 coronal images.

OBSERVATION :

There is evidence of a left parieto-occipital craniotomy. Susceptibility artifacts are noted in that region.

There is volume loss in the left occipital lobe. There is an ill-defined, hypointense signal on the T1 Weighted images in the left parieto-occipital region which appears hyperintense on the proton, T2 Weighted and FLAIR images. These changes may represent gliotic/encephalomalacic changes, the sequelae of previous surgery. Minimal fullness of the occipital horn of the left lateral ventricle is noted.

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









IMPRESSION :

1. Post-operative status.

2. Volume loss in the left occipital lobe with altered signal
suggests gliotic/encephalomalacic changes, the sequelae of previous surgery.

As compared to the previous MRI dated 00.00.00 (scan no. 733), the previously identified lesion in the occipital lobe is not identified on the present study. The lesion in the clivus and in the left frontal lobe are not well identified on this scan and show resolution.

If clinically indicated a contrast enhanced scan may be worthwhile.