hs/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzrai Mlmn / M / 69 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis with slurred speech and increased blood pressure 15 days back.

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 and Fast Scan (T2 *) coronal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial, sagittal and coronal images.

FEW IMAGES SHOW MOTION INSPITE OF SEDATION.

OBSERVATION :

There is evidence of a space occupying lesion measuring approximately 5.0 x 5.0 x 4.5 cms within the left frontal lobe. This lesion is hypointense on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images. Few areas of hypointensity on the T1 Weighted and FLAIR images which turn hyperintense on the T2 Weighted images are seen within this lesion and would represent cystic/necrotic changes. After contrast administration, there is thick and intense enhancement of its periphery with scattered areas of enhancement within it.





Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are noted adjacent to this lesion and would represent white matter edema. There is effacement of the adjacent cortical sulci and compression upon the left lateral ventricle with mild shift of the midline to the right. Also seen is effacement of the left Sylvian fissure.

The right lateral and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of a space-occupying lesion measuring approximately 5.0 x 5.0 x 4.5 cms within the left frontal lobe and this most likely represents a neoplastic process like a glial cell tumor or a lymphoma.