ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / F / 54 yrs.
Referred by : Dr. Abc Xyzdial.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O swelling over the right eye since 1 1/2 months with pain and numbness.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and STIR coronal images.

3 mm thick T2 Weighted axial images with fat saturation.

OBSERVATION :

There is a small focal hypointense area in the left corona radiata and left posterior parietal deep white matter on the T1 Weighted images which is seen to turn hyperintense on the proton and T2 Weighted images (se/im. 102/14, 103/14) and may represent an ischemic focus.

The fat superior and lateral to the eyeball on the right side shows hypointense signal on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted and STIR images. Similar signal is also noted in the subcutaneous tissue in the right periorbtial region.

The optic nerves show normal signal intensity.

Both the 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 :

1. Ischemic focus in the left corona radiata and left posterior parietal deep white matter.

2. Altered signal superior and supero-lateral to the right eyeball and in the right periorbital region as described, is not specific for a single etiology. This most likely is inflammatory in etiology. A lacrimal gland inflammatory lesion may be considered as a differential diagnosis.