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sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Blmn / F / 65 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with drooping and diplopia on the right side.
H/O Ca breast. Has received 5 cycles of chemotherapy.

EXAMINATION :

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

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

3 mm thick T1 Weighted and STIR coronal images.

After administration of contrast the following parameters were used :

3 mm thick T1 Weighted coronal images with fat saturation.

5 mm thick T1 Weighted axial images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a small, CSF signal intensity lesion on all the pulse sequences in the right temporo-parietal cortex (scans 104.11, 102.11). This may represent an old ischemic lesion (?? prominent sulcal space).

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.



The optic nerves on either side show normal signal characteristics.

After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma or along the meninges. No abnormal enhancement is noted in the cavernous sinuses, orbital apex or in the visualized orbits on either side. The perisellar region is also unremarkable.

IMPRESSION :

1. A very small, CSF signal intensity lesion on all the pulse sequences in the right temporo-parietal cortex may represent an old infarct (?? prominent sulcal space).

2. No abnormal enhancing lesion is noted in the brain parenchyma, meninges, cavernous sinuses or orbits on this study.