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9708526114
CHAUDHURI IMAGING ASSOCIATES PVT. LTD.
gAso Road No. 12, Rajendra Nagar, Behind Telephone Exchange,
Patna 800 016, Near Northern End of Dhanush Overbridge
DR. RAJAN CHAUDHURI DR. MAMTA MISHRA
MBBS (CAL ). MD (Gokd Mecdalist) KEM Bombay DNB (Radhodiagnosis) M.B8.S, UUTRASONOLOGIST, DHM
ULTRA FAST I.5 TESLA HD MRI SO0 SLICE VvOLUME CT FULL ROOM DIGITAL X-RAY (DR) DEXA-BMD

Accession No: R2303937 Date: 31-Jan-2023

Name GOVIND KUMAR Age/ Sex. 19 Years / M

Ref. by Dr. NITISH KUMAR (Neuro)

MD (KEM) DM (NIMHANS)

MRI

MRIOF BRAIN WITH CONTRAST:

Protocol
along withFast spin
axial choplaner
echo TI axial,12(EPI)
imaging axial.diffusion
cononaland sagittalandandADC
wcighted inversion recovery
map of sequcnc
the bruin FLAIRPostaxial.contrast
parenchyma. Susceptibility
TI FAT weighted
SAT axial,axial
non-FAT SAT coronal and sagittal scquence.

There is a thick walled irregular shaggy ring enhancing lesion measuring around 34 x 30 x 33mm in left
high parietal lobe with significant vasogenic edema.
Smaller minimally enhancing lesion is also seen in the left occipital lobe in para sagital location measurin
around omm in diameter showing disproportionate edema.
On DWI. the parietal lesion shows peripheral mild restriction whercas the central neerotic portion shows
facilitated ditfusion.
The occipital lesion however does not show any restriction in DWI.
On GRE, there is minimal blooming within the necrotic portion of the lesion suggestive of internal
hemorrhage.
The lesion is T1 hypointense and 12/FLAR hyperintense.
There is no midline shift.
The cortical sulci, CSF cistern and ventricular system are normal.
The brainstem and cerebellum are normal.
Both the mesial temporal lobes including hippocampi are normal d symmetrical.
The pituitary gland including neurohypoplhysis is normal.
fle v voids.
The intracranial vessels and dural venous sinuses show nornal
The 7- 8 nerve complexes are normal.

OPINION: 34 33mm size thick walled irregular SOL in

x 30 x parietal lobe with smaller SOL in the
le
no significant mas.: lfect. The larger lesion in the parietal
left occipital lobe showing adjacent edema but
and internal hemorri.. ge. Diferential is between a high grade
lobe shows restricted diffusion al the margin
further relevant inves:igation including PET CT.
glioma Vs hemorrhagic metastasis. Suggested

Dr. Avinash Munshi, aMD FRCR Dr. Mamta Mishra, M.B.8.S dr. Sanjeev Kr. Dwivedi, uo Dr.Amit Anand, DMRD
Dr. Rajan Chaudhuri, «.o DNB
3D/4D Ultra Sound Echo Cardiography Pathology
Digital X-ray Color Doppler
Digital OPG 500 Shice Cardiac CT 1.5Tesla Utra Fast MRI Digitalised Mammography Histo Cytology
FOR DIAGNOSIs
OPINION MuST BE CORRELATED WITH CLINICAL & OTHER INVESTIGATION
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Road No. Rajendra Nagar, Behind Telephone Exchange.
Near Dhanush Bridge, Patna-16

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