ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Plmn / F / 64 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with diplopia and vomiting (one episode) since 00.00.00.

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.

OBSERVATION :

There is a large extra-axial mass lesion along the greater wing of the sphenoid on the left side which measures approximately 3.8 x 4.0 x 3.1 cms. This lesion is iso to hyperintense to the grey matter on the T1 Weighted images and turns heterogeneously hypointense on the proton, T2 Weighted and FLAIR images. A tail is seen along the floor of the middle cranial fossa extending along the tentorium on the left side. There is mass effect upon the underlying left inferior frontal and the temporal lobes. Slight effacement of the quadrigeminal cistern on the left side and the cerebral cortical sulci on the left is noted. The left middle cerebral artery is displaced antero-superiorly.

There is slight prominence of the cerebral cortical sulci on the right side and the cerebellar folia bilaterally.

There is mild indentation on the left lateral ventricle.

The right lateral, third and the fourth ventricles are normal. The rest of the basal cisternal spaces are unremarkable. There is no shift of the midline structures.
..2/.






IMPRESSION :

The MRI features are suggestive of a large extra-axial mass lesion along the greater wing of the sphenoid on the left side measuring approximately 3.8 x 4.0 x 3.1 cms. and follows the signal characteristics of a meningioma.