sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Glmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000. On anti-epileptics.
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 and T2 Weighted coronal images.
OBSERVATION :
There is a small bright focus on the proton and T2 Weighted images in the right thalamus, anteriorly. This lesion appears isointense to normal grey matter on the T1 Weighted images.
The hippocampal complex is unremarkable on either side.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary antra bilaterally.
Incidentally noted is atlanto-dens subluxation with the atlanto-dens interval measuring 5.0 mms.
IMPRESSION :
1. Small bright focus on the proton and T2 Weighted images in the right thalamus, anteriorly is of ? etiology, (? ischemic focus).
2. Atlanto-dens subluxation with the atlanto-dens interval measuring 5.0 mms.