Displaying items by tag: nodule
Sunday, 27 December 2015 16:48
14299
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness and neck pain radiating to the LUE since 2-3 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.
3 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images. An MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is seen a fairly large, approximately 6.0 x 3.8 x 3.1 cms sized well-defined, cystic mass lesion in the right cerebellar hemisphere. This lesion is slightly hyperintense to CSF on all pulse sequences. There is an approximately 1.8 x 1.1 cms solid mural nodule along the infero-lateral wall of the lesion on the right. There is no significant perilesional edema. There is resultant compression of the fourth ventricle which is displaced slightly to the left of the midline. The right paramedullary and the right quadrigeminal cisterns are also effaced.
There is cerebellar tonsillar herniation through the foramen magnum. Mild dilatation of both the lateral and the third ventricles is noted.
There is a hyperintense signal on the proton, T2 Weighted and FLAIR images in the left cerebellar hemisphere which is hypointense on the T1 Weighted images which needs to be evaluated further.
..2/.
No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
An approximately 6.0 x 3.8 x 3.1 cms sized well-defined, cystic mass lesion with a solid nodule in the right cerebellar hemisphere as described, most likely represents a hemangioblastoma. The possibility of a cystic astrocytoma seems less likely (in view of the solid nodule described above).
A contrast enhanced scan would be worthwhile.
von Hippel-Lindau syndrome should be ruled out.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness and neck pain radiating to the LUE since 2-3 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.
3 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images. An MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is seen a fairly large, approximately 6.0 x 3.8 x 3.1 cms sized well-defined, cystic mass lesion in the right cerebellar hemisphere. This lesion is slightly hyperintense to CSF on all pulse sequences. There is an approximately 1.8 x 1.1 cms solid mural nodule along the infero-lateral wall of the lesion on the right. There is no significant perilesional edema. There is resultant compression of the fourth ventricle which is displaced slightly to the left of the midline. The right paramedullary and the right quadrigeminal cisterns are also effaced.
There is cerebellar tonsillar herniation through the foramen magnum. Mild dilatation of both the lateral and the third ventricles is noted.
There is a hyperintense signal on the proton, T2 Weighted and FLAIR images in the left cerebellar hemisphere which is hypointense on the T1 Weighted images which needs to be evaluated further.
..2/.
No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
An approximately 6.0 x 3.8 x 3.1 cms sized well-defined, cystic mass lesion with a solid nodule in the right cerebellar hemisphere as described, most likely represents a hemangioblastoma. The possibility of a cystic astrocytoma seems less likely (in view of the solid nodule described above).
A contrast enhanced scan would be worthwhile.
von Hippel-Lindau syndrome should be ruled out.
Published in
MRI Reports