A Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 5 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Brain & Sella.

CLINICAL PROFILE :

C/O precocius menarche. No axillary or genital hair growth.
USG s/o B/L bulky ovaries with follicles.
X-rays of Wrist s/o advanced bone age.
Clitoromegaly +.

EXAMINATION :

M.R.I of the brain and sella was performed using the following parameters :

5 mm thick proton and T2 Weighted axial images.
3 mm thick T1 Weighted sagittal images.
3 mm thick T1 Weighted and T2 Weighted coronal images.

After administration of contrast, 3 mm thick T1 Weighted sagittal and coronal images through the sella and 4 mm thick T1 Weighted axial images through the brain were obtained. Delayed 3 mm thick T1 Weighted sagittal images through the sella were also obtained.

OBSERVATION :

There is no focal area of altered signal intensity within the brain parenchyma.

Both the lateral and the third ventricles appear chinky. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Hyperintense foci on T2 Weighted images in the right frontal white matter most likely represents prominent perivascular spaces.

There is no focal mass lesion identified in the pituitary gland. The posterior pituitary gland shows a normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in midline. The perisellar region and the cavernous sinuses are unremarkable on either side.

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After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma, the meninges or the pituitary gland.

Inflammatory changes are noted in the paranasal sinuses and the right mastoid air cells and enlarged adenoids.

IMPRESSION :

Normal study of the brain, sella and the perisellar region.