sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzmmed Nlmn / M / 5 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

C/O seizures since 2 years.
H/O right sided hemiparesis 2 years back.
H/O fever prior to this.

EXAMINATION :

The brain was screened with the help of 5 mm thick T1 Weighted sagittal images and T2 Weighted axial images.

MRV was performed using a 2D TOF technique.

OBSERVATION :

There is volume loss of the left cerebral hemisphere. There is an ill-defined, hyperintense signal on the T2 Weighted images along the cortex and subcortical white matter of the left cerebral hemisphere (sparing the basal ganglia). This lesion appears hypointense on the T1 Weighted images. Resultant mild to moderate dilatation of the left lateral ventricle is noted. The left cerebral peduncle is also atrophied and a focal hyperintense signal is noted in the left thalamus and in the pons on the left, anteriorly (? due to Wallerian degeneration). Mild pull of the midline to the left is noted. The posterior body and splenium of the corpus callosum appears thin.

Mild dilatation of the right lateral, third and fourth ventricles is also noted.

The basal cisternal spaces are unremarkable.






INTRACRANIAL MRV :

There is slight attenuation of the superficial cortical veins overlying the left cerebral hemisphere. The superior sagittal sinus, transverse and sigmoid sinuses, internal cerebral veins, vein of Galen and the straight sinus show normal flow signal.

No obvious venous sinus thrombosis is evident on this scan.

IMPRESSION :

1. Altered signal in the left cerebral hemisphere as described, most likely represents an old ischemic lesion.

2. Except for slight attenuation of the superfical cortical veins overlying the left cerebral convexity, no significant abnormality is detected on the Intracranial MR Venogram, on this study.