hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzad Shlmn / M / 10 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures on 00.00.00 (2 episodes).

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, T2 Weighted and FLAIR coronal images.

OBSERVATION :

There is evidence of a subcentimeter well circumscribed hypointense lesion on the proton, T2 Weighted and FLAIR images within the right frontal region. A hyperintense speck is seen within the centre of the lesion on the proton images. This lesion is not well identified on the T1 Weighted images. It is surrounded by hypointense areas on the T1 Weighted images and which turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent perilesional edema. There is effacement of the adjacent cerebral cortical sulci.

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 subcentimeter lesion within the right frontal region as described and this may represent a granuloma like a cysticercus in the granular nodular stage (? tuberculoma).