hs/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzra Glmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tremors in the RUE with giddiness and headaches.
Known C/O Wilsons disease.

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 are small areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the left periatrial white matter, thalamus on the left side and the frontal white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.

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.

Note is made of pansinusitis and enlarged adenoids.

IMPRESSION :

The MRI features are suggestive of altered signal within the left periatrial white matter, thalamus on the left side and the frontal white matter bilaterally and are not specific for a single etiology. (? ischemia/? demyelination).