hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / M / 45 yrs.
Referred by : Dr. Abc Xyzh.
Examination :M.R.I. of the Brain.

CLINICAL PROFILE :

C/O memory lapses since 15 days.
Known hypertensive.
H/O left sided weakness with loss of memory in June 0000.

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 are fairly well-defined areas which are near isointense to CSF on all the pulse sequences within the left parieto-temporal lobes. Adjacent to these are areas which are hypointense on the T1 Weighted images and which turn hyperintense on the Proton, T2 Weighted and FLAIR images and would represent gliotic changes. This lesion in toto would represent an area of cystic encephalomalacia. There is ex-vacuo dilatation of the atrium and occipital horn of the left lateral ventricle.

The rest of 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.

IMPRESSION :

The MRI features are suggestive of an area of cystic encephalomalacia in the left parieto-temporal lobes.