hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzag S. lmn / M / 13 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Patient has been operated for craniosynostosis at the age of 15 days. Development was normal.
H/O TBM at the age of 10 years with left hemiplegia. Subsequently the patient has shown mental backwardness.
H/O seizures.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are fairly well-defined areas which are near isointense to CSF on all the pulse sequences within the head of the right caudate nucleus and the right lentiform nucleus. Few areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton and T2 Weighted images are noted adjacent to these lesions and would represent gliotic changes. These lesions would represent lacunar infarcts.

The right cerebral hemisphere appears a little smaller as compared to the left side.

There is fullness of both the lateral ventricles, right more than left. Also seen is mild fullness of the third and fourth ventricles.

The head appears to be brachycephalic/turricephalic.
..2/.







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 lacunar infarcts within the
the head of the right caudate nucleus and the right lentiform nucleus.

Patient is a known C/O craniosynostosis with a brachycephalic/ turricephalic skull.