Tuesday, July 14, 2015

Neuro cystecercosis (MR).






PROTOCOL:

T2W – Sagittal & axial scans
T1W – Axial scans
FLAIR – Coronal scans
T2FFE (Gradient) – Axial scans
3D TOF MR angiography of the circle of Willis vessels and MIP reconstruction.

FINDINGS:

-Revealed:
·        A small single rounded lesion in the right frontal lobe with 8.3 mm diameter.
·        Ring enhancement after contrast injection with enhanced peripheral internal nodule.

-Brain Parenchyma shows normal grey white matter differentiation and signal intensities.  No focal mass lesion is seen.
-Lateral and third ventricles are normal in size and position. Septum is in midline.  There is no midline shift.
-Basal cisterns, cortical sulci and gyri are normal in appearance.
-Sella is normal in appearance.
-Corpus callosum shows normal MR morphology.
-Brain stem and cerebellum show normal signal intensities. 
-Fourth ventricle is normal in size and is midline in position.

OPINION:


·         In the light of the previously mentioned signs in addition to the nationality of the patient; picture is suggestive of neuro cysticercosis for clinical correlation. 

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