Date : 00.00.00

Name of the Patient : Abc Xyzni Sukhatalmn / F / 2 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever since 15 days with semiconsciousness since 2 days.

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.

OBSERVATION :

There is evidence of a shunt tube coursing through the right parietal lobe with the tube tip lying within the body of the right lateral ventricle.

There is moderate dilatation of the third, fourth and both the lateral ventricles and of the aqueduct. Signal void within the fourth ventricle, aqueduct and the posterior third ventricle may reflect turbulent flow. Few periventricular hypointensities on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images may represent CSF ooze.

There is effacement of the cerebral cortical sulci which may represent increased intracranial tension.

There is hypoplasia of the inferior cerebellar vermis.

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

IMPRESSION :

The MRI features are suggestive of a moderate communicating hydrocephalus in a known C/O tuberculous meningitis.

As compared to the previous MRI (study no:00004) dated 00.00.00, there is a slight increase in the degress of the dilatation of the ventricular system.