hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Shrlmn / F / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 6 years with altered behaviour since 00.00.00.

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 T2 Weighted coronal images.

4 mm thick T2 Weighted and 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

There is beaking of the cerebellar tonsils with herniation through the foramen magnum with slight stretching of the fourth ventricle. There is mild dilatation of the third and both the lateral ventricles.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the left maxillary sinus.

IMPRESSION :

The MRI features are suggestive of beaking of the cerebellar tonsils with herniation through the foramen magnum and mild dilatation of the third and both the lateral ventricles and this would be representative of a Chiari malformation.