sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Kotlmn / M / 67 yrs.
Referred by : Dr. Abc Xyzagwati / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known hypertensive/diabetic with meningitis.
For follow up.

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 T1 Weighted and FLAIR coronal images.

OBSERVATION :

There is no focal area of altered signal intensity within the brain parenchyma per se.

There is still seen hyperintense signal, best appreciated
on the FLAIR coronal images in the right frontal subdural space/subarachnoid space. This lesion is of intermediate signal intensity on the T1 Weighted images and may represent inflammatory meningeal thickening/exudates.

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.

Inflammatory changes are noted in the frontal sinus, ethmoidal air cells and right maxillary sinus.





IMPRESSION :

Altered signal in the right frontal subdural space/subarachnoid space may represent inflammatory meningeal thickening/exudates.

A contrast enhanced scan would be worthwhile.

Inflammatory changes in the paranasal sinuses as described are also noted.

As compared to the previous MRI dated 00.00.00 (study no.00009), there is significant resolution of the lesion in the interhemispheric fissure. There is also reduction in the inflammatory tissue in the frontal sinus and ethmoidal air cells.