ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzS. Avlmn / F / 4 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills, vomiting, (right focal) seizures and altered sensation (for 8 days) in July 0000.
Now C/O speech disturbances.

EXAMINATION :

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

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

4 mm thick FLAIR coronal images.

3 mm thick T2 coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are areas which are iso to hyperintense to CSF on all the pulse sequences in the thalami bilaterally. These are surrounded by hyperintense areas on the proton, T2 Weighted and FLAIR images and would represent gliotic changes. These would represent old infarcts.

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 enlarged adenoids.

IMPRESSION :

The MRI features are suggestive of old infarcts in the bilateral thalami.