ke/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzAlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 5 years.
C/O giddiness and gait ataxia since 15 days.
H/O fever +.

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.

OBSERVATION :

There is an ill-defined, lesion in the left frontal and parietal parafalcine region which is predominantly cystic and is hypointense on the T1 Weighted images. This is seen to turn heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images with the cystic portion seen to follow CSF signal characteristics. There is involvement of the anterior portion of the corpus callosum by this lesion. The anterior cerebral artery is displaced to the right side. Hyperintense signal is seen at the periphery of this lesion in the left fronto-temporo-parietal region with extension and involvement of the left lentiform nucleus, thalamus and the genu of the internal capsule as well as the right frontal region on the proton, T2 Weighted and FLAIR images which may represent tumor edema/tumor infiltration. Similar areas are also seen within the body of the corpus callosum. There is mass effect with effacement of the adjacent sulci in the left fronto-temporo-parietal region and indentation upon the body of the left lateral ventricle. There is shift of the midline structures to the right.
Scan-00003


There is slight fullness of the right lateral and fourth ventricles.

No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of a lesion in the left frontal and parietal parafalcine region involving the body of the corpus callosum with extensions as described and most probably represents a glial cell tumor ? corpus callosum glioma.

A contrast enhanced scan may be useful.