hs/ke/nl/nl.
Date : 00.00.00

Name of the Patient : Abc Xyzath Talmn / M / 52 yrs.
Referred by : Dr. Abc Xyzlankar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O left orbital mucormycosis for which the left eyeball was removed 6 weeks ago.
At present C/O headaches and giddiness with hearing loss and tinnitus on the left side.
H/O HT and DM.

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.

OBSERVATION :

The normal contents of the left orbit are not visualized, the result of the previous surgery.

Areas of intermediate signal intensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen within the left optic canal, left superior orbital fissure, the sphenoid sinus, maxillary sinus and ethmoidal air cells on the left, left infratemporal fossa and the mastoid air cells on the right side.

There is no focal area of altered signal intensity in the brain parenchyma.









There is mild prominence of the cerebral cortical sulci bilaterally. Also seen is slight fullness of the third and both the lateral ventricles. The fourth ventricle is 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 :

In a known C/O mucormycosis the MRI features are suggestive of :

1. Post-operative status.

2. Inflammatory changes within the left optic canal, left superior orbital fissure, the sphenoid sinus, maxillary sinus and ethmoidal air cells on the left, left infratemporal fossa and the mastoid air cells on the right side.