ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Ahmed lmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O single episode of seizures on 00.00.00.

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 T1 Weighted and T2 Weighted coronal images through the region of interest.

After administration of contrast the following parameters were used :

3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted axial images with magnetization transfer.
4 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are small well circumscribed hypointense lesions (probably two) in the left frontal region on the T1 Weighted images. These are seen to turn hyperintense on the proton and T2 Weighted images. There is surrounding edema. After administration of contrast, there are two ring enhancing lesions in the left frontal region (se/im:108/17). There appears to be an eccentrically placed enhancing nodule in one of the lesions and this may represent a scolex (se/im:107/8 to 109/8).

There is no other area of abnormal enhancement within the brain parenchyma or along the meninges. There is suspicious well circumscribed rim enhancing lesion within the right temporalis muscle (se/im:107/14).




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.

Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells.

IMPRESSION :

The MRI features are suggestive of a granulomatous lesions in the left frontal region following the signal characteristics of cysticerci in the colloid vesicular stage. (These are less likely to represent tuberculomas).