Date : 00.00.00

Name of the Patient : Abc XyzWakchlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O twitching of the right half of the face with mild numbness.
Known hypertensive.

EXAMINATION :

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

5 mm thick T2 Weighted axial images.

5 mm thick T1 Weighted sagittal images.

3 mm thick T1 Weighted coronal images.

MR cisternogram was obtained in the coronal plane.

A limited MR angio sequence was obtained through the brainstem.

OBSERVATION :

There is an ill-defined, hyperintense signal on the T2 Weighted images in the right fronto-temporo-parietal region. This lesion follows CSF signal on all the pulse sequences and represents an area of cystic encephalomalacia. Resultant volume loss is noted, with mild dilatation of the right lateral ventricle.

The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is no shift of the midline structures.






The seventh and eighth cranial nerve complexes and the trigeminal nerves on either side are unremarkable. A vascular twig is noted at the root exit zone of the right seventh and eighth cranial nerve complex and at the root entry zone of the right trigeminal nerve without deforming the same.

IMPRESSION :

1. An area of cystic encephalomalacia in the right fronto-temporo-parietal region, most likely the sequelae of a previous vascular insult.

2. A vascular twig at the root exit zone of the right seventh and eighth cranial nerve complex and at the root entry zone of the right trigeminal nerve without deforming the same.