hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzk Kuvlmn / M / 6 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with altered sensorium.
Patient has developed quadriparesis.

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 T2 Weighted coronal images.

4 mm thick FLAIR coronal images.

OBSERVATION :

There are diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the cerebral peduncles and thalamus bilaterally with indentation upon the third ventricle. The thalamus is seen to be bulky.

Areas with similar signal characteristics are seen to involve the right temporo-parietal lobes (cortical grey and subcortical white matter).

Both the lateral 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 :

Altered signal within the cerebral peduncles and thalamus bilaterally with indentation upon the third ventricle and in the right temporo-parietal lobes (cortical grey and subcortical white matter).

The possibilities to be considered are :

1. Venous infarct.

2. ADEM.

3. Mitochondrial encephalopathy (less likely).

As compared to the previous MRI (study no:00003) dated 00.00.00, there is marked increase in the size and distribution of the lesion.