hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz. Kalmn / M / 8 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness, gait ataxia, headaches and diplopia since 6 days.
H/O similar complaints in June 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 and STIR coronal images.

OBSERVATION :

There is evidence of an area which is near isointense to CSF on all the pulse sequences in the right periatrial white matter. This may represent a perivascular space or cystic changes (? demyelination ? ischemia).

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.

Inflammatory changes are seen in the maxillary sinuses and ethmoidal air cells. Note is made of enlarged adenoids.

IMPRESSION :

The MRI features are suggestive of an area which is near isointense to CSF in the right periventricular white matter. This may represent a perivascular space or cystic changes (? demyelination ? ischemia).