Date : 00.00.00

Name of the Patient : Abc Xyz Glmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right focal seizures since childhood. On anti-epileptics.

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 T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is prominence of the cortical sulcal spaces in the left high fronto-parietal region with underlying tissue loss. Hyperintense areas surrounding this area on the proton and T2 Weighted images would represent areas of gliosis (scans 103.18, 103.19, 102.18, 102.19). This lesion in toto would represent an area of cystic encephalomalacia, the result of a previous vascular insult.

There is mild dilatation of the left lateral and the fourth ventricles. The right lateral and the third 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.

A mega cisterna magna is noted.

Incidental note is made of enlarged adenoids and inflammatory changes in the maxillary sinuses, ethmoidal air cells and frontal sinus.

IMPRESSION :

The MRI features are suggestive of an area of cystic encephalomalacia in the left fronto-parietal region, the result of previous vascular insult.