hs/sb/rg/nl
/21 Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures with mild MR since childhood.

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 T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There are multiple small areas of hyperintensities on the proton and T2 Weighted images within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.

Note is made of a cavum septum pellucidum and vergae.

There is mild prominence of cerebellar folia bilaterally.

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.

Inflammatory changes are noted in the sphenoid sinus, ethmoidal air cells and both maxillary sinuses.








IMPRESSION :

The MRI features are suggestive of multiple areas of altered signal intensity within the white matter in the fronto-parietal lobes bilaterally and these are not specific for a single etiology (?? ischemic foci).

A contrast enhanced scan would be worthwhile, if clinically indicated.