hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 17 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with vomiting. On AKT since 22 days.
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.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a fairly large, approximately 3.5 x 2.2 x 3.5 cms sized conglomeration of multiple rim-enhancing lesions in the cerebellar vermis extending slightly to the right of the midline.
This lesion appears iso to slightly hypointense to normal white matter on the T1 Weighted images and is relatively more hypointense on the proton and T2 Weighted images. There is perilesional edema with compression of the fourth ventricle.
Resultant mild dilatation of the third and both the lateral ventricles is noted.









The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

IMPRESSION :

A conglomeration of multiple lesions in the cerebellar vermis as described follow the signal characteristics of multiple tuberculomas. Mild dilatation of both the lateral and third ventricles is also noted.

As compared to the previous MRI (study no:00006) dated 00.00.00, there is a slight increase in the size of the third and both the lateral ventricles.