sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzid Almn / M / 17 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures with right sided hemiparesis.
Past H/O surgery for left fronto-parietal abscess at the age of 1 1/2 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.

5 mm thick FLAIR coronal images.

3 mm thick T2 Weighted coronal images.

3 mm thick T1 Weighted sagittal images through the sella and perisellar region.

OBSERVATION :

There is seen an ill-defined, CSF signal intensity lesion on all the pulse sequences in the left high frontal parafalcine region. This represents an area of cystic encephalomalacia, most likely the sequelae of previous surgery. Perilesional white matter hyperintense signal on the T2 Weighted and FLAIR images may represent gliotic changes. Scar of previous surgery is noted on the scalp in the left high frontal parafalcine region.

Both the 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.

- 2 - scan-00001

The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. It measures approximately 6.0 mm in height. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.

The suprasellar cistern and the cavernous sinuses are unremarkable.

Inflammatory changes are noted in the left maxillary antrum.

IMPRESSION :

Altered signal in the left high frontal parafalcine region represents an area of cystic encephalomalacia with perilesional gliosis in the left high frontal parafalcine region, may be the sequelae of previous surgery.