Date : 00.00.00

Name of the Patient : Abc Xyz Kamrunnlmn / F / 60 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 3-4 episodes of seizures on 00.00.00.

EXAMINATION :

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

5 mm thick T1 Weighted , proton and T2 Weighted axial images.

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a well-defined lesion in the right parietal cortex which measures approximately 1.5 x 1.0 cms. This lesion is slightly hyperintense to the white matter on the T1 Weighted images. The periphery is seen to turn hypointense on the proton, T2 Weighted and FLAIR images. Few hypointnese specks are noted within this lesion on the T1 Weighted images which are seen to turn hyperintense on the proton and T2 Weighted images. The centre of the lesion is seen to follow CSF characteristics on all the pulse sequences. There is surrounding white matter edema with slight effacement of the adjacent sulci. A suspicious eccentric speck is visualized on the FLAIR images suggestive of a scolex.

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 :

The MRI features are suggestive of a granulomatous infective lesion following the signal characteristics of a cysticercus in the right high parietal cortex as described with surrounding mass effect. A follow-up study may be worthwhile.