ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzl D. Nalmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills, headaches, vomiting, dysarthria and gait imbalance since 15 days.
H/O LP done 8 days back followed by loss of vision bilaterally.

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 coronal images.
3 mm thick STIR coronal images.

After administration of contrast, the following parameters were used :

5 mm thick T1 Weighted axial (with magnetization transfer), sagittal and coronal images.

OBSERVATION :

There is a small hypointense area in the medial aspect of the left temporal lobe on the T1 Weighted images which is seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding edema with slight effacement of the adjacent sulci in that region. After administration of contrast, there is rim enhancement of the lesion in the medial aspect of the left medial temporal lobe which measures approximately 2.2 x 1.1 cms.

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

There is mild fullness of both the lateral ventricles. The 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 granulomatous infective lesion in the medial aspect of the left temporal lobe following the signal characteristics of a tuberculoma.