hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / F / 13 yrs.
Referred by : Dr. Abc Xyzi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O ALL. Detected in 0000. Received Chemotherapy and Radiotherapy.
No complaints at present.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periatrial white matter bilaterally. These are iso to hypointense to normal white
matter on the T1 Weighted images.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the white matter in the left frontal lobe, left centrum semiovale and within the left paraatrial white matter.

There is mild fullness of the ventricular system. There is prominence of the cerebral cortical sulci (more marked in the right high parietal region) and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

R>

IMPRESSION :

1. Altered signal within the periatrial white mater bilaterally most likely represents areas of ischemia/demyelination.

2. Lacunar infarcts in the white matter in the left frontal lobe, left centrum semiovale and within the left paraatrial white matter.

3. Mild cerebral cortical and cerebellar atrophy.