sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz I. Anwalmn / F / 11 yrs.
Referred by : Dr. Abc Xyzwala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures (2 episodes) since August 0000 with loss of appetite.
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 and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is loss of volume of the left hippocampal complex with resultant focal dilatation of the temporal horn of the left lateral ventricle. No signal change is however noted in the hippocampal complex on either side.
There is no focal area of abnormal signal intensity within the brain parenchyma.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
A cavum septum pellucidum and cavum vergae are noted.
Inflammatory changes are noted in the right maxillary antrum.
IMPRESSION :
1. Loss of volume of the left hippocampal complex without
obvious signal change may suggest hippocampal sclerosis.
2. Cerebral cortical atrophy.