ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzni lmn / F / 33 yrs.
Referred by : Dr. Abc Xyzagwati / Dr. Abc Xyztil.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and right sided diplopia with ptosis.

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.
3 mm thick T1 Weighted and STIR coronal images.
3 mm thick STIR axial images.
3 mm thick oblique sagittal images.

OBSERVATION :

There is no focal area of abnormal signal intensity within the brain parenchyma.

Ill-defined hypointense signal on the T1 Weighted images which turns heterogenously hyperintense on the STIR images is seen within the right superior orbital fissure (se/im. 105.7 & 106.7).

Both the lateral, third and the fourth ventricles show fullness.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of bilateral maxillary sinusitis and inflammatory changes in the ethmoidal air cells.



- 2 - scan-00007


IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity within the right superior orbital fissure and is not specific for a single diagnosis. Inflammatory lesion like a pseudotumor may be considered.

A contrast enhanced scan would be worthwhile.