ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Glmn / M / 11 yrs.
Referred by : Dr. Abc Xyzvani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

known C/O ALL detected in April 0000. Received Chemotherapy (4 cycles) and Radiotherapy (10 sittings).

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hyperintense area on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the right posterior
parietal region and right frontal region. These lesions are isointense to the 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.

Incidental note is made of mild inflammatory changes in the ethmoidal air cells. An empty sella is also noted.

IMPRESSION :

The MRI features are suggestive of altered signal in the subcortical white matter in the right posterior parietal region and in the right frontal region. These changes are not specific for a single etiology. This may represent ? ischemia, ?? demyelination.