sb/bv/nl/rg.
s Date : 00.00.00

Name of the Patient : Abc Xyzr Chlmn / M / 43 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures in childhood and since the last 15 years. On anti-epileptics.

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 is seen a CSF intensity lesion on all the pulse sequences in the right temporo-parietal region. This lesion represents an area of cystic encephalomalacia. Resultant volume loss is noted in this region.

An ill-defined hyperintense signal on the proton, T2 Weighted and FLAIR images in the periventricular white matter in the right posterior parietal region (scans 105.4-7).

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. 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. An area of cystic encephalomalacia in the right temporo-parietal region, most likely the sequelae of a previous vascular insult.

2. Altered signal in the periventricular white matter in the right posterior parietal region most likely represents a gliotic/ischemic lesion.

3. Mild cerebral and cerebellar atrophy.