Date : 00.00.00

Name of the Patient : Abc Xyzha V. Tholmn / F / 2 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall from 7 feet height 1 year back with injury to head and fracture of parieto-occipital bone.
Now C/O gait imbalance with ? weakness of the RLE.

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 coronal images.

5 mm thick FLAIR coronal images.

OBSERVATION :

There is seen a small, CSF intensity lesion on all the pulse sequences in the right frontal cortex. This lesion represents an area of cystic encephalomalacia.

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.

Thickening of the right frontal bone is noted.

IMPRESSION :

1. An area of cystic encephalomalacia in the right frontal cortex (? due to previous contusion/vascular insult).

2. Thickening of the right frontal bone.