kebv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Slmn / F / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 3 episodes of paresthesias in the RUE and RLE since 1 month.
H/O seizures 3-4 years ago.

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 a small subtle hyperintense area on the proton, T2 Weighted and FLAIR images in the left frontal subcortical region (se/im:105.17, 104.10, 103.10, 102.10). This is iso to hypointense to white matter on the T1 Weighted images. Another lesion is identified in the left frontal periventricular region (scans 103.13, 102.13, 104.13, 105.16). A similar lesion is noted in the right occipital region (se/im:105/5) which shows a small hypointense area on the FLAIR images.

Hyperintense areas are noted in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images and may represent terminal areas of myelination (scans 103.13-15, 105.6-8, 102.13 to 103.15).

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 left maxillary polyp and enlarged adenoids.

IMPRESSION :

Altered signal in the left frontal region and in the right occipital region may represent ? evolving granulomas ?? demyelination.

A contrast enhanced scan is essential (patient refused a contrast study).