sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzang Kalmn / M / 26 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever since 1 month.
C/O altered sensorium since 2 days. ?? HIV.

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 T2 Weighted coronal images.

IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton and T2 Weighted images in the left anterior capsular region, head of left caudate nucleus, in the right lentiform nucleus and external capsular region. These lesions appear hypointense to normal white matter on the T1 Weighted images. Mild indentation on the frontal horn of the left lateral ventricle is noted by the lesion in the head of left caudate nucleus.

There are multiple small, hypointense lesions on the T2 Weighted images in the right frontal cortex and in the right high fronto-parietal cortex, with perilesional edema. These lesions appear hypointense on the T1 Weighted images.

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

1. Altered signal in the left anterior capsular region, head of left caudate nucleus, in the right lentiform nucleus and external capsular region is not specific for a single etiology. These lesions may represent ischemic changes, or may represent granulomas.

2. Multiple, small, lesions in the right frontal cortex and in the right high fronto-parietal cortex as described, also most likely represent granulomas.

A contrast enhanced scan is essential.