sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / F / 30 yrs.
Referred by : Dr. Abc Xyzurya.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 5 years.

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, T2 Weighted and FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The left hippocampal complex appears slightly smaller in volume when compared to the right and shows a hyperintense signal on the T2 Weighted and FLAIR images, suggesting left sided mesial temporal sclerosis.

There is a small bright focus on the proton and T2 Weighted images in the subcortical white matter in the right fronto-temporal region. This lesion appears hypointense on the T1 Weighted images (scans 105.10, 106.10) and may represent an ischemic focus.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Reduction in the volume of the left hippocampal complex with altered signal suggests left mesial temporal sclerosis.