sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Bhallmn / M / 36 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 6 months.
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.
3 mm thick FLAIR coronal, axial and sagittal images.
OBSERVATION :
There is seen a very small subcentimeter, hypointense lesion best appreciated on the FLAIR images in the right posterior parietal, subcortical white matter (scans 108.5, 107.6, 102.14). This lesion is not well appreciated on the T1 Weighted images. Perilesional white matter hyperintense signal on the FLAIR images may represent perilesional edema/gliosis.
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.
Mucosal thickening is noted in the maxillary antra bilaterally.
IMPRESSION :
Subcentimeter, focal lesion best identified on the FLAIR images in the right posterior parietal, subcortical white matter as described, most likely represents a granuloma, probably a calcifying granuloma. Perilesional hyperintense signal may represent gliosis/edema.
As compared to the previous CT Scan, dated 00.00.0000, there is no significant change in the size of the lesion.