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Multiva imaging of a patient with an enhancing brain lesion

Case Study
Ajithkumar, Devaki Ramachandran Philips Healthcare • China, People's Republic of
Rajendran, Karthick Raj Philips Healthcare • India
Aziz, Mudasir Philips Healthcare • India

Patient history

A-58-year old male presented at the Holy Family Hospital, New Delhi, India with a history of headache over the past month. In addition he had incontinence of urine for 20-22 days, dizziness for the past 15 days and an episode of transient loss of consciousness around 15 days back. He underwent MR examination on Multiva 1.5T.
Courtesy of Dr. Renee Kulkami and Dr Sameer Kausik, Holy Family hospital, New Delhi, India.

MR examination

The MR examination was performed on a release 5.1 Multiva 1.5T system using  the head part of  the HeadSpineTorso (HST) coil. MR imaging of brain was performed in multiple weighting and planes. Spectroscopy and post contrast imaging was performed as well.

View ExamCard used

Images and findings

Click on an image to enlarge.
FLAIR DWI
FLAIR
DWI
 
 
MR spectroscopy
MR spectroscopy


MR Imaging finding reveals a small heterogeneously enhancing ill-defined and infiltrating space occupying lesion involving the right ganglio-thalamo-capsular and adjacent periventricular region and focally extending to right cerebral peduncle and midbrain regions. Spectra revealed raised choline levels in the lesion. The lesion had a patchy areas of restricted diffusion and heterogeneous enhancement pattern in the contrast study.

Diagnosis

MR imaging findings suggest an enhancing brain lesion.

Impact of using Multiva 1.5T

The high coil element density provides with excellent SNR and resolution in imaging of brain.


Results from case studies are not predictive of results in other cases. Results in other cases may vary.



This is not for use in the USA



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Mar 12, 2015

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Case Study
Multiva 1.5T
Release 5.1
enhancing tumor, Head, Neuro, Oncology
 

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