ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzon Glmn / M / 48 yrs.
Referred by : Dr. Abc XyzViegas.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever in November 0000 with gait ataxia (more to the left) and momentary loss of time and place since then.
Known diabetic.

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.

OBSERVATION :

There is an ill-defined, hypointense area on the T1 Weighted images in the right temporo-parietal lobes. This is seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas are seen at the periphery of this lesion on the proton, T2 Weighted and FLAIR images. These are hypointense to white matter on the T1 Weighted images and represent gliotic changes. There is dilatation of the occipital horn of the right lateral ventricle and this lesion in toto would represent an area of cystic encephalomalacia. Hyperintense signal on the T1 Weighted images along the gyri in this lesion may represent calcification/paramagnetic deposition.

A lacunar infarct (iso to hyperintense to CSF) is seen in the left thalamus.

Hyperintense areas on the proton and T2 Weighted images are seen within the periatrial white matter and fronto-parietal white matter bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
..2/.







There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

There is mild fullness of both the lateral ventricles. The 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 :

The MRI features are suggestive of cystic encephalomalacia in the right temporo-parietal lobes.