sb/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 0000.
H/O left temporal craniotomy with excision of ganglioglioma on 00.00.00.
For follow up.

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.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted and 3 mm thick coronal images (with magnetization transfer).

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of a left temporo-parietal craniotomy. There is reduction in the volume of the left temporal lobe, the result of previous surgery.

There is seen a CSF signal intensity lesion on all the pulse sequences in the left inferior temporal lobe. Perilesional white matter hyperintense signal on the proton, T2 Weighted and FLAIR images may represent gliotic changes. Mild fullness of the temporal horn of the left lateral ventricle is noted.






After administration of contrast, dural enhancement is noted at the craniotomy site. There is however, no parenchymal enhancement noted.

The right 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 :

1. Post-operative status.

2. Altered signal in the left inferior temporal lobe represents gliotic/encephalomalacic changes, the sequelae of previous surgery.

As compared to the previous MRI dated 00.00.00 (study no:00005), the previously identified lesion is not seen on the present study.