sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzI. Shlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 1 year.

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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is atrophy of the left hippocampus which shows a hyperintense signal on the T2 Weighted images, suggesting left mesial temporal sclerosis. Resultant mild focal dilatation of the left temporal horn is noted.

There is volume loss in the left parieto-occipital region, with prominent sulcal spaces, ? the sequelae of a previous vascular insult.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.






Inflammatory changes are noted in the ethmoidal air cells and bilateral maxillary sinuses.

IMPRESSION :

1. Left mesial temporal sclerosis.

2. Volume loss in the left parieto-occipital region with prominent sulcal spaces is most likely the sequelae of a previous vascular insult.