sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzr Almn / M / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, blurred vision and diplopia since 15 days.
H/O lymphnodal enlargement in the inguinal region at the age of 7 years. Received AKT for 6 months.

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 coronal images.

3 mm thick STIR coronal images through the orbits.

OBSERVATION :

There are very small, well-defined, hypointense lesions on the T1 Weighted images in the left cerebellar hemisphere, in the cortex and subcortical white matter in the cerebral hemispheres bilaterally and in the left lentiform nucleus. These lesions follow CSF signal and hyperintense on the proton and T2 Weighted images but appear hypointense on FLAIR images. There is mild perilesional edema around most of the above described lesions with sulcal space effacement in some regions.

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.

The optic nerves on either side appear normal in course and signal characteristics.

Inflammatory changes are noted in the maxillary antra bilaterally.
..2/.







IMPRESSION :

Very small, subcentimeter lesions in the cerebral hemispheres bilaterally and in the left cerebellar hemisphere with perilesional edema as described, follow the signal characteristics of neurocysticerci in the vesicular and colloid-vesicular stages.