ke/bv
Date : 00.00.00

Name of the Patient : Abc XyzBhlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 4 episodes of seizures on 00.00.00.

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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is a well-circumscribed hyperintense lesion in the left frontal region measuring approximately 0.5 cms in diameter on the Proton, T2 Weighted and FLAIR images (se/im102.17, 103.17, 106.5, 105.4). This lesion has a hypointense rim on the T2 Weighted and FLAIR images.
This lesion appears isointense on the T1 Weighted images. There is surrounding white matter edema with mass effect and slight effacement of the adjacent sulci.

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 :

The MRI features are suggestive of :

1. A granulomatous infective lesion in the left frontal region measuring approximately 0.5 cms (? cysticercus).

2. Mild dilatation of both the lateral ventricles.

A contrast enhanced study and follow up would be worthwhile.