sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O diplopia since 1 month. Similar complaints 1 year back.
C/O giddiness, gait ataxia and change in voice since 5-6 days.

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.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the pons, centrally and more to the right of the midline, extending into the lower midbrain and right cerebral peduncle, superiorly and into the upper medulla on the right, anteriorly. This lesion appears hypointense on the T1 Weighted images.

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 cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.










IMPRESSION :

Altered signal in the pons, extending into the lower midbrain and upper medulla as described, is not specific for a single etiology. Central pontine myelinolysis, demyelination or a neoplasm, may be considered as differential diagnosis.

The possibility of ischemic lesion or a granuloma seems less likely.

A contrast enhanced scan is essential.

Previous CT Scan was not available for review/comparison.