ke/bv
Date : 00.00.00Name of the Patient : Abc Xyzh Palmn / M / 51 yrs.Referred by : Dr. Abc Xyzh Shah.Examination : M.R.I. of the Brain.
CLINICAL PROFILE : Known C/O TB Meningitis detected on 00.00.00. On AKT. Previous MRI s/o granulomas. No complaints at present.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 thick FLAIR 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 an approximately 1.5 x 0.8 x 1.2 cms sized well-marginated, mass lesion in the left cerebellar hemisphere, infero-medially. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and is relatively hypointense on the T2 Weighted and FLAIR images. There is mild perilesional edema/gliotic changes.


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.
After administration of contrast, there is rim enhancement of the above described lesion. No abnormal meningeal enhancement is noted. A polyp is noted in the right maxillary antrum. IMPRESSION :An approximately 1.5 x 0.8 x 1.2 cms sized rim enhancing lesion in the left cerebellar hemisphere, infero-medially following the signal characteristics of a tuberculoma. As compared to the previous MRI (study no:00000) dated 00.00.00, there is a decrease in the size of the left cerebellar lesion and non-visualization of the lesion in the right Sylvian fissure.