ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzee Shlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 1 1/2 months.

EXAMINATION :

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

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

4 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a large, ill-defined hypointense area in the left occipital lobe which follows CSF signal intensity characteristics on all the pulse sequences. Hyperintense areas are noted at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are hypointense to the normal white matter on the T1 Weighted images and are suggestive of gliosis. There is dilatation of the occipital horn of the left lateral ventricle and this lesion would represent an area of cystic encephalomalacia. A large lesion which is slightly hyperintense on the T1 Weighted images is seen within the above mentioned lesion which measures approximately 2.8 x 1.0 x 2.1 mms and is seen to bloom on the proton, T2 Weighted and Fast Scan (T2 *) images and represents a large area of calcification.

The right 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 enlarged adenoids.

IMPRESSION :

An area of cystic encephalomalacia in the left occipital lobe with a large area of calcification measuring approximately 2.8 x 1.0 x 2.1 mms within it.