sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzHilmn / M / 20 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since childhood.
Past H/O plant of a VP shunt done for hydrocephalus at the age of 2 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.

OBSERVATION :

There are ill-defined, hypointense lesions on the T1 Weighted images in the fronto-parietal and posterior parietal region, periventricular white matter bilaterally and in the bilateral corona radiata and centrum semiovale and in the cerebellar white matter bilaterally. These lesions are slightly hyperintense to CSF on all the pulse sequences.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. The tip of the shunt tube is noted in the body of the right lateral ventricle.

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

Incidentally noted is a thick skull vault and cavum septum pellucidum and vergae.
- 3 - Scan-00000


IMPRESSION :

1. Post-shunt status with the tip of the shunt tube in the body of the right lateral ventricle.

2. Altered signal in the fronto-parietal and posterior parietal region, periventricular white matter bilaterally and in the bilateral corona radiata and centrum semiovale and in the cerebellar white matter bilaterally is not specific for a single etiology. These lesions may represent watershed ischemic lesions. The possibility of these changes being the sequelae of previous demyelination seems less likely.

3. Mild cerebral cortical atrophy.