MR SCAN

MRI CENTRE, SIR GANGA RAM HOSPITAL

Rajinder Nagar, New Delhi - 110 060
Ph.: 4311 5700 30, 4225 1909

INSTITUTE
RADIOLOGISTSB
DR. T.B.S. BUXI DR. ADITI SUD DR. SEEMA SUD
M.D D.N.B. D.N.B.
Head of dept

Patient Name :KUMAR GOVIND Age/Sex :19Yrs/M

(LastFirst)
Reg. No. :3143284 Ward No. MRI
Episode No. :OP12259348 Room No. :/
Imaging No. :14179797-17 Executed On :14-Feb-2306:47:10PM
Location MRI Location Type OPD
Referred By External Doctor
SINGLE
Sr VOXEL AND MULTIVOXEL MR SPECIROSCOPY OF THE BRAIN WAS

PERFORMEDUSING TE VALUE OF30 AND 135, IN ADDITION POST CONTRAST

TIW IMAGS MR PERFUSION STUDY WAS ALSO PEREORMED,
Previous MRI dated 3 1st January 2023 from an outside centre ieviewed.

On post contrast study, there is peripheral heterogeneous irreyular enhancement of the anterior
component of the lesion with non-enhancement of the postcrior component. The component,
however, seen in continuity on T2W images and suggestive of a single lesion. There is
effacement of the trigone of the left lateral ventricle. No abnorrnal leptomeningeal enhancement
is seen. No other enhancing lesion is seen in the cerebral parenchyma.

MR spectroscopy through the lesion reveals significant increase in the choline peak with
decreased in the NAA and mild increase in the Lactate. The choline creatine ratio is 3.64 and the
NAA creatine ratio is 1.27

lesion shows evidence of

MR spectroscopy through the non-enhancing component of the a

large lipid Lactate peak with no significant increase in the choline.

area of oedema also reveals increase in the choline with
Spectroscopy performed through the
choline creatine ratio is 1.63 and NAA creatine ratio is 1.97
a

On MR perfusion, there is increase in the relative CBV and relative CBF through the enhancing
of the contrast is seen
componentof the lesion seen in the left cerebral hemisphere. The recovery
below the baseline on the delayed images.

IMPRESSION: of the
MR findings are suggestive of a high grade glioma left cerebral

hemisphere. Lem
DR. SEEMA SUD
RADIOLOGIST
NOT FOR MEDICO LEGAL PURPOSES

This is only Radiological Impression

a
& not a Diagn0sis. Like all diagnostic modalities, MRI also has its limitations. Iherefore
MRI should be interpreted in correlation with clinical & pathological findings.
report
 Dr. (Prof.) Anshu Rohatgi
M.D. (MED.) DNB, DM( Neurology)
FRCP (Edinburgh), FAAN (USA)
www.sgrh.com GRIPMEP
Senior Consultant Neurologist
Sir Ganga Ram Hospital, New Delhi-110060
The Ganga Ram Institute for Postgraduate Medical Education & Research, Rajinder Nagar, New Delhi

M: 9810159046, 8851259949 E: rohatgianshu@yahoo.com (DMC No. 6202)

Datef32 2 3
Nameof Patient
-yrs ID Mobile No.
Sex: ML Age:

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Infection) PD) (AD) (SCA) (Muscle Spine
Stroke)
Neuropathy) (MS) (Headache) (Epitepsy) RESIDENCE CUM CLINIC:
CLINICS Delhi-16
Development Area, New
Doctor 1D 20 C-1/56, Safdarjung Closed
RAM HOSPITAL For Online Consult. Thursday & Sunday
SIR GANGA myFollwup
011-26855243, 26527347
1st Floor Call:
Room No. F-20, For Appointment
Private OPD WhatsApp: 9810159046, 8851259949
to Sat.)
Timing: 4 pm -8 pm (Mon. 42251703,
42254000
011-42251700,
Appointment:
Fer
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PDE Is Vewes hitps J/mih ehosptal govin cHospatalKcgstratbonv

PH 011-23404040, 23365525

110001

DR. RAM MANOHAR LOHIA HOSPITAL, NEW DELHI 110001

OPD Registration Card
HARMEEI UNGAH
do srd aepared byMr.
OPD Regd No oo Flo Mobike No
CGHS Token No

aTmClinich 40 5o /Room No
282301148 Dept Reg No: 2423 uBUw67s
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Days
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Patient Name NUFRO SURGIRY. IHEAD INJURY Roomueue: S5 4
Age gars TE Month

Male
Diagnosis R GIND AUMAR 19Y

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Note You can get OPD appointment and print opd slip at home through oniine You can consuit your doctor through telemedic1ne from
registration system (ORS) ors.gov.in your home for more detail please visit rmBh nic. in

Always bring this card with you when you come to Hosprtal.

Smoking is Injurious To Your & Others Health.

The Facility of referral of EWS Patients to private hospital for free

reatment is available here

Eouivalent aeneric Medicines can also be issued.

GoVIND KUMAR
3163284
14
Feb 2023
MCENTRE Sr Gangaram Hopt
PHILIPS
Pixel Location
Palient frame (mm) 323, 49.5, 784
Image frame 82,46

Roi Area (mm)

relCBF:
RoitRoi2
3.30 4.03
15.57 6.48
w
relCBV 148 77 66 24
MTT(S 9.56 10.22
TTP (s 2868 2824
TO (s) 22.58 2253

Pixel Location
Patient frame (mm) -154,96.4, 749

1078 Image frame: 107,56

810
Roi1Roi2
543
276
Roi Area(mm) 371 3.30
relCBF 31.08 8.61
8.93 relCBV 295.61 55.13
MTT(S 9.51 6.40
TTP ( 27.11 28 09
TO(s) 20.99 23.99

Pixel Location
Patient frame (mm) 98, 1092, 645
Imageframe 114,58

Roi1Roi2
Roi Area (mm) 423 483
relCBF 19.50 13.41
relCBV 109 19 111 90

MTT(S 5.60 8.35

TTP () 28.97 27.70
TO(S) 25.99 2328

Pixel Locatio
Patient frame (mm) -154,872 ,802
Image frame 102,55

Roi1Roi2
Roi Area (mm) 268 268
relCBF 24.37 490
relCBV 297 50 46 18
MTT(S) 1221 943
TTP (s 32 30 29 65
TO () 24.00 24 23
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2.11 234.63 1.16

3.11 202.78 1.00
330 360.01 1.78
4.00 38.94 0.19
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