ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzl Ylmn / M / 25 yrs.
Referred by : Dr. Abc Xyzel.
Examination : M.R.I. of the Brain & Orbits.
CLINICAL PROFILE :
Excision of the right orbital tumor on 00.00.00.
C/O pain and watering in the right eye.
EXAMINATION :
M.R.I of the brain and orbits 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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are post-operative changes in the right zygomatic region and the lateral aspect of the right orbit. Streaking of fat in that region is seen which is hypointense on the T1 Weighted images.
A small hyperintense area is noted on the STIR images postero-inferior to the eyeball and inferior to the right optic nerve which is of intermediate signal on the T1 Weighted images and would represent ? post-operative changes, ?? residual tumor.
The optic nerves show normal signal intensity.
There is no focal area of altered signal intensity in the brain parenchyma.
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 :
Post-operative status.
Altered signal intensity lesion inferior to the right optic nerve is ? post-operative change, ?? residual tumor.
A follow-up scan is recommended.