sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzderkaur lmn / F / 13 yrs.
Referred by : Dr. Abc Xyz
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O ALL detected 8 years back. Chemotherapy and Radiotherapy received 5 years back.
No complaints at present.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton density and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

OBSERVATION :

A well-defined, CSF intensity lesion is seen on all the pulse sequences in the subcortical white matter in the left frontal region represents a lacune (scans 104.13, 103.13, 105.15, 102.13).

Small bright foci on the T2 Weighted images in the subcortical white matter in the left frontal region are also noted.

Ill-defined, hyperintense signal on the T2 Weighted images in the posterior parietal periventricular white matter bilaterally most likely represent areas of terminal myelination.

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.
..2/.












IMPRESSION :

1. A lacune in the subcortical white matter in the left frontal region.

2. Small bright foci in the subcortical white matter in the left frontal region are of ? ischemic in origin.