sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Chaudlmn / F / 21 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O vomiting, giddiness and gait ataxia since 4-5 days.
C/O diminished vision (left more than right) since 1 month.
H/O acute renal failure.

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 and T1 Weighted coronal images.

OBSERVATION :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left inferior frontal region and in the frontal and parietal regions bilaterally. These lesions appear nearly isointense to normal white matter on the T1 Weighted images.

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 :

Small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left inferior frontal region and in the frontal and parietal regions bilaterally are not specific for a single etiology. These lesions are more likely to represent ischemic lesions rather than demyelinating lesions. The possibility of granulomas seem less likely.