sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzlgani Shlmn / M / 8 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O TBM with hydrocephalus.
VP shunt done 2 months back. Shunt removed.

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 is seen a linear, hyperintense signal on the proton and T2 Weighted images in the left parietal region, extending from the lateral ventricular wall upto the cerebral cortex. This lesion is hypointense on the T1 Weighted images and most likely represents a shunt tube tract. A burrhole is noted in the left parietal bone (scans 102.14-15, 103.14-15, 104.14-15).

There is mild to moderate dilatation of both the lateral, third and the fourth ventricles. There is a hypointense signal, more pronounced on the proton and T2 Weighted images in the third ventricle, aqueduct and fourth ventricle, suggesting increased CSF flow.

The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are seen in the mastoid air cells bilaterally.






IMPRESSION :

1. Post-shunt status with subsequent removal of the shunt. A shunt tube tract is noted in the left parietal region.

2. Mild to moderate communicating hydrocephalus.

As compared to the previous CT Scan dated 00.00.00, there is decrease in the size of the ventricles.