Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).

CLINICAL PROFILE :

C/O diplopia since 1 month. Similar complaints 1 year back.
C/O giddiness, gait ataxia and change in voice.

EXAMINATION :

After administration of contrast, 5 mm thick T1 Weighted axial and coronal images with magnetization transfer, 5 mm thick T1 Weighted sagittal images and 3 mm thick FLAIR coronal images were obtained.

OBSERVATION :

On administration of contrast, there is a conglomeration of multiple ring enhancing lesions within the pons, anteriorly and more to the right of the midline. This conglomeration measures approximately 2.2 x 1.3 x 1.0 cms.

There is no area of abnormal enhancement within the meninges.

IMPRESSION :

The MRI features are suggestive of conglomeration of multiple ring enhancing lesions within the pons, anteriorly and this most probably is due to a granulomatous infective process.

It is difficult to characterize the type of granulomas.

A follow-up scan may be useful.

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