ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Gailmn / M / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
(Post-contrast study).

CLINICAL PROFILE :

C/O slow movements with difficulty in walking since 1 1/2 years.
Also C/O involuntary movements of the fingers of the right hand since 00.00.00 which has recovered now.

EXAMINATION :

After administration of contrast the following parameters were used :

3 & 5 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 :

After contrast administration, there is a disc enhancing lesion in the right cerebellar hemisphere near the midline measuring approximately 11.0 x 20.0 x 10.0 mms. Perilesional edema is noted on the FLAIR images.

There is no other area of abnormal enhancement in the brain parenchyma or along the meninges.

IMPRESSION :

The MRI features are suggestive of a disc enhancing lesion in the right cerebellar hemisphere near the midline, measuring approximately 11.0 x 20.0 x 10.0 mms. This lesion is not specific for a single etiology. The possibilities to be considered are,

1. Metastasis.

2. Granuloma (less likely).