ke/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzl Dlmn / M / 9 yrs.
Referred by : Dr. Abc Xyzlani / Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O cerebral tuberculomas. Received AKT for 18 months.
For follow-up.
C/O headaches since 4 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.

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

5 mm thick T1 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are still seen small hypointense specks in the right high parietal region (se/im: 102/15, 103/15, 106/9) and in the left inferior frontal region (se/im:103/10, 102/10, 106/15, 106/16) on all the pulse sequences which may represent calcific foci. Very minimal perilesional hyperintensity is noted on the T2 Weighted images, around the lesions which may represent residual gliosis.There is no other area of focal altered signal intensity within the brain parenchyma.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.


IMPRESSION :Areas of altered signal intensity in the cerebral hemispheres as described may represent residual calcifying granulomas. As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.