Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc Xyzr lmn / M / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O mental retardation with seizures.

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 subcentimeter hyperintense area in the head of the caudate nucleus posteriorly on the left side on the proton and T2 Weighted images. This is hypointense to the gray matter on the T1 Weighted images (scans 105.10, 105.11, 104.10, 104.11, 102.11, 106.10).

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

Incidental note is made of inflammatory changes in the maxillary, sphenoid sinuses and ethmoidal air cells.

IMPRESSION :

Altered signal intensity area in the in the head of the caudate nucleus posteriorly on the left side is not specific for a single etiology. This may be ischemic in etiology. A contrast enhanced scan would be worthwhile.
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