sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzqbal Anlmn / M / 17 yrs.
Referred by : Dr. Abc Xyzah.
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 and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen an ill-marginated, hypointense lesion on the T1 Weighted images in the cortex and subcortical white matter in the left posterior parietal region. This lesion appears hyperintense on the proton and T2 Weighted images. There is no perilesional edema. Resultant mild focal fullness of the atrium of the left lateral ventricle is noted.

Both the lateral, third and the fourth ventricles are otherwise 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 noted in the maxillary sinuses and ethmoidal air cells bilaterally.







IMPRESSION :

Altered signal in the cortex and subcortical white matter in the left posterior parietal region, most likely represent gliotic/encephalomalacic changes, probably the sequelae of a previous vascular insult.

The possibility of it being an infective process is less likely.

A contrast enhanced scan would be worthwhile.