ke/sb/nl/rg.
/692 Date : 22/00.00.00

Name of the Patient : Abc Xylmn / M / 63 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 2 episodes of seizures (first on 00.00.00 and second 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.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a well-marginated, approximately 2.0 x 2.8 x 2.2 cms sized hypointense mass lesion on the T1 Weighted images in the right temporal lobe. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images with a central, relatively hypointense area within. There is perilesional edema with effacement of the sulcal spaces and the right Sylvian cistern in that region.
Scan-00009/692


After administration of contrast there is thick peripheral enhancement of the lesion. There is no other abnormal area of enhancement within the brain parenchyma or the meninges.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is 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 :

An approximately 2.0 x 2.8 x 2.2 cms sized rim enhancing mass lesion in the right temporal lobe as described, is not specific for a single etiology. A glial cell tumor or metastasis may be considered as differential diagnosis. The possibility of an infective/inflammatory pathology is less likely.