ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzh Slmn / M / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since childhood with giddiness and diminished vision on the left side since 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.
3 mm thick T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hypointense areas in the occipital lobes bilaterally on the T1 Weighted images which are seen to turn hyperintense on the proton and T2 Weighted images. Subtle hyperintense areas are seen at the periphery of this lesion, better appreciated on the FLAIR images. Slight dilatation of the occipital horns of both the lateral ventricles is noted. This lesion would represent areas of cystic encephalomalacia.

A small well-circumscribed lesion which is hyperintense with a hypointense rim on the T2 Weighted images is seen in the left parieto-occipital region (se/im 106/2) and may represent a granuloma.

There is mild prominence of the cerebellar folia bilaterally.








There is fullness of both the lateral ventricles. The 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 a left maxillary polyp.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of cystic encephalomalacia in the occipital lobes bilaterally as described.

2. A probable granuloma in the left parieto-occipital lobe.