ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyza D. Salmn / F / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O squint in the left eye since 15 days with diplopia.
H/O fever prior to this.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hypointense areas within the medulla, posterior aspect of the pons, bilateral cerebellar hemispheres, right temporal lobe, right frontal region and in bilateral high frontal and right high parietal regions on the T2 Weighted images. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images. Few of these lesions show a hyperintense signal on the T2 Weighted images. There is mild surrounding edema with mass effect and effacement of the adjacent sulci in the frontal region. There is mild indentation upon the frontal horn of the right lateral ventricle.

The left 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 areas of altered signal within the medulla, posterior aspect of the pons, bilateral cerebellar hemispheres, right temporal lobe, right frontal region and bilateral high frontal and right high parietal regions. These may represent granulomatous infective lesions like tuberculomas.

A contrast enhanced scan would be mandatory.