ke/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzta Blmn / F / 47 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O speech disturbances on 00.00.00 from which patient has recovered partially.
C/O fever and headaches since 7 days.
H/O left sided hemiparesis in 0000.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

There is an ill-defined hyperintense area within the right frontal bone (se/im: 102/13, 14). A small extradural/meningeal lesion which measures approximately 2.0 x 0.6 cms is seen in the right frontal region and is hypointense on the T2 Weighted images. Surrounding subcortical white mater edema is noted with mild indentation on the frontal horn of the right lateral ventricle.

A suspicious lesion is seen in the left cerebellar hemisphere.

There is moderate dilatation of the right lateral ventricle and fullness of the left lateral and fourth ventricles. The third ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.


INTRACRANIAL MRA :

SOME IMAGES SHOW PATIENT MOTION.

The left vertebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The left vertebral artery in the neck is also hypoplastic.

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

Lesion in the right frontal bone with a small extradural/meningeal lesion measuring approximately 2.0 x 0.6 cms. is not specific for a single diagnosis. The possibilities to be considered are :

1. Metastasis.

2. Infective process.

A contrast enhanced scan would be worthwhile.