sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzJlmn / F / 27 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O intracranial tuberculoma since 00.00.00. On AKT since then.
For follow-up.

EXAMINATION :

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

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

4 mm thick T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is still seen an approximately 1.9 x 1.8 x 1.7 cms sized well-defined, iso to hypointense mass lesion on the T1 Weighted images in the left parieto-occipital parafalcine region. This lesion appears significantly hypointense on the proton and T2 Weighted images with a central, slightly hyperintense signal. There is perilesional white matter edema with sulcal space effacement and slight anterior and lateral displacement of the atrium and occipital horn of the left lateral ventricle. Extension of the edema into the splenium of the corpus callosum is also seen which was also present in the previous studies on reviewing.

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 :

An approximately 1.9 x 1.8 x 1.7 cms sized mass lesion in the left parieto-occipital parafalcine region as described, follows the signal characteristics of a tuberculoma.

As compared to the previous MRI (scan no:00006) dated 00.00.00, there is minimal decrease in the size of the lesion. The perilesional edema pattern remains largely unchanged.