sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzValmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, diplopia in the right eye (on and off) since August 0000.
C/O seizures in December 0000.

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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There are small, subcentimeter, hypointense lesions on all the pulse sequences, more pronounced on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images in the subcortical white matter in the frontal and temporal regions bilaterally, right high parietal-parafalcine region and in the right occipital region. There is no perilesional edema.

A similar lesion is noted in the pons, centrally and posteriorly. Minimal hyperintense signal on the proton, T2 Weighted and FLAIR images around the lesion in the pons may represent perilesional edema/gliosis.











There is mild fullness of both the lateral ventricles. The 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 :

Focal, hypointense lesions on all the pulse sequences in the cerebral hemispheres and pons, as described, most likely represent calcified granulomas. The lesion in the pons shows evidence of minimal perilesional edema/gliosis.