hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyzg S. Manlmn / M / 8 yrs.
Referred by : Dr. Abc Xyzai.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O ALL since 00.00.00. Received chemotherapy and radiotherapy (last dose in December 0000).
Now C/O difficulty in learning and understanding.

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 diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter and the subcortical white matter in the fronto-temporo- parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and show a fairly symmetric distribution.

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.

IMPRESSION :

The MRI features are suggestive of fairly symmetric areas of signal alteration in the periventricular white matter and the subcortical white matter in the fronto-temporo-parietal lobes bilaterally. These changes may represent radiation/chemotherapy induced leukoencephalopathy (more likely due to chemotherapy in view of symmetric distribution of the lesions).