hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzmmed A. Plmn / M / 11 yrs.
Referred by : Dr. Abc Xyzrawala / Dr. Abc Xyzka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches.
H/O weakness of the LUE and LLE since 40 days and inability to speak since 4 days.

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 FLAIR coronal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images involving the gyri in the right parietal and right occipital lobes and within the right paraatrial white matter and posterior aspect of the thalamus on the right side. These do not enhance after contrast administration.

There is mild prominence of the 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.

IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity involving the gyri in the right parietal and right occipital lobes and within the right paraatrial white matter and posterior aspect of the thalamus on the right side.
These are not specific for a single etiology. The differential diagnosis may include :

1. Encephalitis/ADEM.

2. Ischemia/infarction.

3. Metabolic disorders (like mitochondrial cytopathies) (less likely.