sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzMlmn / F / 27 days.
Referred by : Dr. Abc Xyzykar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O Birth asphyxia (Stage II).
FTND.

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 T2 Weighted and Fast Scan (T2 *) coronal images.

OBSERVATION :

There are ill-marginated hyperintense areas on the T1 Weighted images in the upper medulla, thalami, subthalamic region and the lentiform nuclei and at the tip of the central sulcus bilaterally. The lesion in the putamen turns hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images whereas the lesions in the rest of the regions remain hyperintense on the proton and T2 Weighted images.

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.

IMPRESSION :

In a known C/O severe birth asphyxia, altered signal in the upper medulla, thalami, subthalamic region and the lentiform nuclei and at the tip of the central sulcus bilaterally, may represent subacute haemorrhage/calcification/myelin breakdown.