hs/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 28 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Old C/O tuberculoma.
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.
3 mm thick T1 Weighted, T2 Weighted and FLAIR coronal images through the region of interest.
OBSERVATION :
There is still seen an ill-defined hypointense area on the T1 Weighted images in the right parafalcine fronto-parietal region. This lesion appears hyperintense on the proton and T2 Weighted images. There is resultant slight focal dilatation of the frontal horn of the right lateral ventricle as compared to the left. The area of altered signal measures approximately 1.5 x 1.75 x 1.75 cms.
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 :
An approximately 1.5 x 1.75 x 1.75 cms sized altered signal in the right parafalcine fronto-parietal region may represent gliosis/residual tuberculoma.
As compared to the previous MRI (study no:00000) dated 00.00.00, there is no significant change noted.
A contrast enhanced scan would be worthwhile.