ke/hs/nl.
Date : 00.00.00

Name of the Patient : Abc XyzShlmn / M / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O Pulmonary Kochs. On AKT since 00.00.00.
C/O hearing loss, slurred speech and difficulty in walking since February 0000.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hypointense areas in the temporo-occipito-parietal white matter bilaterally on the T1 Weighted images which are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is involvement of the splenium of the corpus callosum. Similar areas are noted in the cortico-spinal and cortico-neural fibres, in the pons, medulla as well as the middle cerebellar peduncles bilaterally.

The left lateral ventricle is slightly prominent as compared to the right.









The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of altered signal in the temporo-occipito-parietal white matter, splenium of the corpus callosum, in the cortico-spinal and cortico-neural fibres in the pons, medulla as well as the middle cerebellar peduncles bilaterally and this can be seen with X-Linked adrenoleukodystrophy.