Date : 00.00.00

Name of the Patient : Abc Xyzhandlmn / M / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O single episode of seizure on 00.00.00.
Alleged H/O RTA with injury to the right side of face 4 years back.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a small, well marginated, CSF signal intensity lesion on all the pulse sequences in the left inferior frontal and frontal cortex. This lesion most likely represents an area of cystic encephalomalacia, ? the sequelae of previous trauma.

The hippocampal complex is unremarkable on either side.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the maxillary antra bilaterally.

IMPRESSION :

Altered signal in the left inferior frontal and frontal cortex as described, most likely represents an area of cystic encephalomalacia, ? the sequelae of previous trauma.