sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Saiflmn / M / 39 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O accident 7 months back with weakness of the LUE and BLE since then.

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 well marginated, CSF intensity lesions on all the pulse sequences in the right inferior frontal and frontal regions, bilateral temporal cortex and in the right high parietal cortex. These lesions represent areas of cystic encephalomalacia, most likely the sequelae of previous cortical contusions, (in a known C/O head trauma). Ill-defined hyperintense signal on the proton, T2 Weighted and FLAIR images around these lesions and in the frontal, temporal and posterior parietal cortex, bilaterally represent gliotic changes in the given clinical setting.

Hyperintense signal on the proton, T2 Weighted and FLAIR images in the globus pallidi bilaterally, which appear hypointense on the T1 Weighted images may represent shearing injuries.

There is mild dilatation of both the lateral, third and the fourth ventricles. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.


IMPRESSION :

1. Areas of cystic encephalomalacia with perilesional gliotic changes in the right inferior frontal and frontal regions, bilateral temporal cortex and in the right high parietal cortex.

2. Altered signal in the globus pallidi bilaterally, may represent shearing injuries.