ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzRaiglmn / F / 27 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (3 episodes) since 3 months.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR and Fast Scan (T2 *) coronal images.

After administration of contrast the following parameters were used :

4 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted axial images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a fairly large, well-defined mass lesion in the left high frontal region and which measures approximately 2.5 x 3.2 x 2.5 cms. This lesion is predominantly hypointense with few hyperintense areas within it on the T1 Weighted images. This is seen to turn hyperintense on the proton and T2 Weighted images and hypointense on the FLAIR images suggestive of its predominant cystic nature. There is surrounding edema with mass effect and effacement of the adjacent sulci. Mild indentation upon the body of the left lateral ventricle and slight straightening of the posterior part of the corpus callosum is noted. The adjacent gyri appear thick and are hypointense to normal gray matter on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images.
Scan-00007


On administration of contrast, there is faint enhancement at the periphery of the cystic component.

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 a mass lesion in the left high frontal region measuring approximately 2.5 x 3.2 x 2.5 cms. and most probably represents a neoplastic process like a glial cell tumor.