sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzar Mlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc XyzR> Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O intracranial tuberculomas, detected in May 0000. On AKT.
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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are multiple well-marginated, hypointense lesions on the proton, T2 Weighted and FLAIR images in the cerebellar hemispheres bilaterally, in the subcortical white matter in the cerebral hemispheres bilaterally and in the right lentiform nucleus. These lesions appear iso to slightly hyperintense to normal grey matter on the T1 Weighted images and vary in size from a few mms to about 1.2 cms in maximum transverse dimensions. There is perilesional white matter edema with effacement of the sulcal spaces in the cerebral hemispheres bilaterally.

There is effacement of the body of the left lateral ventricle. Both the lateral, third and the fourth ventricles are otherwise unremarkable. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.




IMPRESSION :

Multiple intracranial lesions in the cerebellar and cerebral hemispheres bilaterally, varying in size from a few mms to 1.2 cms in maximum transverse dimensions, as described, follows the signal characteristics of tuberculomas.

As compared to the previous MRI dated 00.00.00, there is increase in the size of the lesions and the perilesional edema.

A contrast enhanced scan may be worthwhile.