ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzk Kalmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 2-3 years. On Anti-epileptics since then.
C/O right sided headaches.
C/O vision loss in the right eye for which patient was operated 7 months back (exact details not available).

EXAMINATION :

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

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

5 mm thick FLAIR coronal images.

After administration of contrast, the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer and 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Subtle hyperintense signal is seen in the right periatrial deep white matter on the FLAIR images and which is isointense to white matter on the T1 Weighted images.

There is no area of abnormal enhancement in the supratentorial and infratentorial brain parenchyma and along the meninges.

There is slight fullness of the left lateral ventricle as compared to the right. There is prominence of the cerebral cortical sulci and cerebellar folia with fullness of the fourth ventricle.



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 a right maxillary polyp.

IMPRESSION :

1. Altered signal in the right periatrial deep white matter (? gliosis ? ischemic changes).

2. Cerebral or cerebellar atrophy.