Tuesday, November 3, 2015

Meningo-encephalitis (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.
MR venography protocol

FINDINGS:

-Evidence of an area of vasogenic edema is noted in the right frontal lobe measuring about 65 x 51 mm in diameters with evidence of shift of the mid line structures toward the left side associated with thickening and abnormal enhancement of surrounding meninges; picture is suggestive of meningo-encephalitis for clinical correlation.

-The rest of the 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.
-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:

·        Right frontal meningo-encephalitis for clinical correlation.

 Reported By : DR.MOHAMMED MOHYELDIN            
                          Consultant-Radiologist

Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin 

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