sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Prajalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzchale / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O ? Miller-Fisher syndrome since 15 days.
C/O severe backache since 1 1/2 months.

EXAMINATION :

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

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

4 mm thick FLAIR and STIR coronal images.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and 6 mm thick T2 Weighted axial images.

OBSERVATION :

There is no focal area of altered signal intensity within the brain parenchyma.

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.

The optic nerves show normal signal on either side.

The clivus and the petrous apices show a relatively hypointense signal when compared to normal fatty marrow.








Screening images of the lumbo-sacral spine reveal a diffuse hypointense signal on the T1 Weighted images involving the visualized lumbo-sacral vertebrae and the pelvic bones. This signal appears heterogeneously hyperintense on the T2 Weighted images. Probable presacral and epidural soft tissue extension of the lesion is noted at the L5 level and the sacral region.

Incidentally noted is hepatosplenomegaly.

IMPRESSION :

1. Normal study of the Brain.

2. Diffuse altered signal in the clivus, petrous apices, lumbar and sacral vertebrae and in the pelvic bones is not specific for a single etiology. Myeloproliferative disorders or small cell tumors should be ruled out.