hs/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mohd. Ulmn / M / 10 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (3 episodes within 6 months), headaches, vomiting and giddiness since 10 days.

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 and FLAIR coronal images.

A contrast enhanced scan was refused.

OBSERVATION :

There are at least two, fairly well-circumscribed lesions which are iso to hyperintense to CSF with a rim which is isointense to white matter within the left temporal lobe. A scolex is seen within one of the lesions. These are surrounded by areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent perilesional edema. There is resultant effacement of the cererbal cortical sulci and indentation upon the temporal horn of the left lateral ventricle.

The right 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 multiple lesions within the left temporal lobe as described and these most likely represent granulomas like cysticercii.

A contrast enhanced scan may be worthwhile.