ke/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Haldalmn / F / 20 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O TBM since May 0000. On AKT since then.
Now C/O mild headaches and swelling over the left eye (off and on).
For follow-up.

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.

5 mm thick T1 Weighted sagittal images.

After administration of contrast, the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

3 mm thick T1 Weighted coronal and sagittal images through the region of interest.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an adhesion along the medial wall of the left lateral ventricle superiorly.

There is moderate dilatation of the left lateral ventricle with periventricular CSF ooze. There is slight fullness of the right lateral and third ventricles.


An intermediate signal intensity area on the T1 Weighted images is seen in the suprasellar cistern. This is slightly hyperintense on the proton and T2 Weighted images. After administration of contrast, there is ring like (atleast two) enhancement in the suprasellar cistern. Small ring enhancing lesion is also noted just inferior to the third ventricle and anterior to the midbrain.

There is no area of abnormal enhancement along the meninges.

The fourth ventricle is normal. The rest of 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. Ring like enhancement in the suprasellar cistern and smaller ring enhancing lesions just inferior to the third ventricle and anterior to the midbrain could be exudates.

2. Adhesion with moderate dilatation of the left lateral ventricle with periventricular CSF ooze and slight fullness of the right lateral and third ventricles.

As compared to the previous MRI (study no:0000) dated 00.00.00, the left lateral ventricle shows presence of adhesions and is larger than on the previous scan.