hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzN. Sikllmn / M / 18 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with numbness and tingling in the RUE and RLE since 10 days and swelling over the RLE since 1 day.

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.
4 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial, sagittal and coronal images with magnetization transfer.

OBSERVATION :

There is evidence of a fairly well-defined mass lesion located within the left thalamus and measuring approximately 2.3 x 2.9 x 2.5 cms. This lesion is hypointense on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images. After contrast administration, there is intense peripheral enhancement of this lesion. A hypointense focus, more pronounced
on the proton, T2 Weighted and FLAIR images within this lesion may represent calcification.

This lesion is seen to compress upon the third ventricle with shift to the right side. It is also seen to compress upon the posterior body and the atrium of the left lateral ventricle with posterior and superior displacement. This lesion is seen to be extending into the left cerebral peduncle. Also seen is mild perilesonal edema.
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The right lateral and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the right maxillary sinus, frontal sinus and ethmoidal air cells.

IMPRESSION :

The MRI features are suggestive of a mass lesion located within the left thalamus measuring approximately 2.3 x 2.9 x 2.5 cms. and extending into the left cerebral peduncle as described. This most likely represents a neoplastic process like a glial cell tumor (? lymphoma).