sb/hs/nl/rg
Date : 00.00.00

Name of the Patient : Abc Xylmn / F / 30 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since childhood upto the age of 5 years.
Now C/O headaches with ? seizures since March 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.

3 mm thick T1 Weighted, T2 Weighted and FLAIR coronal images.

OBSERVATION :

There is a CSF signal intensity lesion on all the pulse sequences in the right parieto-occipital lobe, which represents cystic changes. Minimal, perilesional hyperintense signal on the FLAIR images may represent gliotic changes.

The left hippocampus appears slightly smaller in size when compared to the right and shows a hyperintense signal on the T2 Weighted images.

Both the lateral, 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 :

1. Altered signal in the right parieto-occipital lobe represents an area of cystic encephalomalacia.

2. Slight decrease in the volume of the left hippocampal complex with altered signal suggests left hippocampal sclerosis.