Date : 00.00.00

Name of the Patient : Abc XyzA. Kolmn / F / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures 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 :

Multiple small areas of hyperintensity on the proton and T2 Weighted images are seen within the subcortical white matter in the fronto-parietal lobes bilaterally and also within the peri/para-atrial white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.

A well-defined area which is iso to hyperintense to CSF on all the pulse sequences is seen within the right lentiform nucleus and may represent a lacune.

There is mild fullness of the temporal horns of both the lateral ventricles.

The rest of 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 right maxillary sinus.

IMPRESSION :

The MRI features are suggestive of :

1. A lacune within the right lentiform nucleus.

2. Areas of altered signal within the subcortical white matter in the fronto-parietal lobes bilaterally and also within the peri/para-atrial white matter bilaterally as described are not specific for a single etiology (?demyelination, ?? ischemic. If clinically indicated a contrast enhanced scan may be worthwhile).