ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills 1 month back with altered sensorium since then.

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.

IMAGES SHOW GROSS PATIENT MOTION.

PATIENT REFUSED SEDATION.

OBSERVATION :

There is a hyperintense area in the right thalamus on the proton, T2 Weighted and FLAIR images. This is iso to hypointense 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 :

Altered signal in the right thalamus is not specific for a single diagnosis. The possibilities to be considered are :

1. An ischemic lesion.

2. Encephalitis.