ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Kalmn / M / 40 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 2 episodes of seizures since 00.00.00.
C/O headaches since 15 days.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5mm thick T1 Weighted axial images with magnetization transfer.

3 mm thick T1 coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a well circumscribed hypointense lesion on the T1 Weighted images in the left frontal region which is seen to turn hyperintense to CSF on the proton and T2 Weighted images with surrounding edema and effacement of the adjacent sulci. There is slight inferior displacement of the body of the left lateral ventricle.
Scan-00004


After administration of contrast, there are two ring enhancing lesions in the left frontal region and the conglomerate lesion measures approximately 1.5 x 1.4 x 1.0 cms. There is no other area of abnormal enhancement within the brain parenchyma or the meninges.

The right 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 :

The MRI features are suggestive of atleast two ring enhancing lesions in the left frontal region and the conglomerate lesion measuring approximately 1.5 x 1.4 x 1.0 cms. These may represent granulomas like cysticerci in the colloid-vesicular stage. The possibility of these being tuberculomas though less likely cannot be entirely excluded.