sb/be/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzam lmn / M / 23 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 2 episodes of tingling in the LUE and LLE lasting for an hour (1st on 00.00.00 and 2nd on 00.00.00).
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 , T2 Weighted and FLAIR coronal images.
Limited Angio was performed with 2D PC sequence.
The T2 Weighted axial images of the brain revealed a granuloma in the right posterior parietal region and hence the study was altered to an MRI of the brain with limited angiographic sequence.
OBSERVATION :
There is seen a small, approximately 8.0 mms diameter sized well-marginated hypointense lesion with a central hyperintense speck on the T1 Weighted images in the subcortical white matter in the right posterior parietal, parafalcine region. This lesion follows CSF signal on all the pulse sequences whereas the speck appears hypointense on the T2 Weighted images. This lesion is surrounded by an iso to hypointense rim on all the pulse sequences (scans 104.17, 102.17, 103.17, 106.6, 105.5, 107.5) There is perilesional edema with sulcal space effacement.
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 limited angiographic sequence does not reveal any significant feature of note.
Inflammatory changes are noted in the sphenoid sinus on the left.
IMPRESSION :
An approximately 8.0 mms diameter sized lesion in the subcortical white matter in the right posterior parietal, parafalcine region, follows a signal characteristics of a neurocysticercus in the colloid-vesicular stage.