sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzhlmn / F / 20 yrs.
Referred by : Dr. Abc Xyzinani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 5 years.

EXAMINATION :

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

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

PATIENT REFUSED CONTRAST EXAMINATION.

OBSERVATION :

There is an ill-defined hyperintense signal on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left posterior parietal region. This signal appears iso to hypointense to normal white matter on the T1 Weighted images.

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.

IMPRESSION :

Altered signal in the subcortical white matter in the left posterior parietal region as described, most likely represents perilesional edema, probably around a granuloma. It is however difficult to identify a focal lesion in that region.

A contrast enhanced scan is essential.

The previous CT Scan was not available for review/comparison.