sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzibegum Anlmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 5-6 months.
H/O pulmonary kochs in January 0000. Completed AKT.
Patient is HIV +ve.
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 :
There is a small, ill-defined, hyperintense signal on the T2 Weighted and FLAIR images in the right inferior temporal cortex and in the left posterior parietal parafalcine cortex (scans 105.6 & 105.9). These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
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 :
Altered signal in the right inferior temporal cortex and in the left posterior parietal parafalcine cortex as described is not specific for a single etiology. This may represent perilesional edema around a granuloma or may represent gliotic/ischemic changes.
The previous CT Scan was not available for review/comparison.
Patient refused a contrast enhanced study.