Displaying items by tag: supero-medial

hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyzsh lmn / M / 8 1/2 yrs.
Referred by : Dr. Abc Xyzrmar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pyogenic meningitis with neurocysticercosis.
H/O epilepsy since 10 months of age.
C/O headaches and fever since 2 days.

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 T2 Weighted coronal images.

OBSERVATION :

There is evidence of a well circumscribed lesion having a diameter of approximately 5.0 mms and located in the right cerebellar hemisphere. This lesion is hypointense on the T1 Weighted images and turns hyperintense with a hypointense rim on the proton and T2 Weighted images. There is a punctate hypointensity on the T2 Weighted images supero-medial to this lesion and is probably calcified. There is no perilesional edema.

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.








IMPRESSION :

The MRI features are suggestive of a 5.0 mms diameter sized lesion in the right cerebellar hemisphere and most probably represents a neurocysticercus in the granular-nodular stage. A calcific focus is noted along the supero-medial margin of this lesion.

As compared to the previous MRI (study no:00007) dated 00.00.00, there is a decrease in the size of lesion and absence of perilesional edema.