sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzl lmn / M / 9 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 1 1/2 months of age.
Family H/O epilepsy.

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.

OBSERVATION :

The right hippocampal complex appears slightly smaller in bulk when compared to left and shows a hyperintense signal on the T2 Weighted images. Resultant focal dilatation of the temporal horn of the right lateral ventricle is noted. There is a suspicious hyperintense signal located in the left hippocampus also (in the head and body).

There is mild fullness of the frontal horns of the lateral ventricles bilaterally. The third and 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.

Mucosal thickening is noted in the left maxillary antrum.

Incidentally noted are pointed cerebellar tonsils and enlarged adenoids.
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IMPRESSION :

1. Slight decrease in bulk of the right hippocampus, with altered signal, suggests right hippocampal sclerosis.

2. Suspicious altered signal in the left hippocampus also.
The possibility of left hippocampal sclerosis also to be evaluated.