ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzShlmn / M / 9 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures with altered sensorium.
Operated for ? ureteric calculus, ? intestinal obstruction.

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 coronal images.

OBSERVATION :

There are ill-defined, hypointense areas on T1 Weighted images
in the right frontal, temporal and posterior parietal cortex and the subcortical white matter and also along the right insular cortex. These lesions turn hyperintense on the proton, T2 Weighted and FLAIR images. Similar areas are also noted in the left frontal, parafalcine region and left temporo-parietal region.

There is moderate dilatation of both the lateral ventricles especially the occipital horns. Moderate dilatation of third and fourth ventricles is also noted. The basal cisterns are prominent.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.







Incidental note is made of pthysis bulbi on the right side and inflammatory changes are noted in the ethmoidal air cells and maxillary sinuses.

IMPRESSION :

1. Altered signal in the right frontal, temporal and posterior parietal cortex and the subcortical white matter and also along the right insular cortex, in the left frontal parafalcine region and left temporo-parietal region may be due to past hypoxic-ischemic insult. The possibility of these lesions representing post-encephalitic changes seems less likely.

2. Moderate dilatation of both the lateral ventricles especially the occipital horns and of the third and fourth ventricles.