Date : 00.00.00

Name of the Patient : Abc Xyz C. Dlmn / F / 18 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 1 year.
H/O fall 1 year back with right temporal bone fracture.
C/O 4 episodes of seizures on 00.00.00.

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 T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is reduction in the volume of the hippocampus on the left side which shows a hyperintense signal on the T2 Weighted images.

A lacunar infarct which is isointense to CSF on the T1 Weighted images and turns hyperintense on the proton and T2 Weighted images is seen in the left lentiform nucleus.

Encephalomalacic changes are seen in the right frontal lobe inferiorly, probably the result of previous trauma.

The previously described fracture of the right temporal bone is not well-identified on this study.
scan-00008


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 :

1. Left mesial temporal sclerosis.

2. Lacunar infarct in the left lentiform nucleus.

3. Encephalomalacic changes in the right inferior frontal lobe.