DUPLICATE REPORT

Date : 00.00.00

Name of the Patient : Abc XyzBanlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O vomiting since 15 days with bilateral visual loss since 3-4 days. Febrile episode 1 month back, with rash.
Also C/O quadriparesis since 2 days.

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 STIR coronal images through the optic nerves.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images predominantly in the subcortical white matter (and probably the grey matter in some places) in the right parieto-occipital region and in the high parietal, parafalcine regions bilaterally. These lesions appear hypointense on the T1 Weighted images.

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.








The optic nerves on either side show normal signal.

IMPRESSION :

Altered signal predominantly in the subcortical white matter (and probably the grey matter in some places) in the right parieto-occipital region and in the high parietal, parafalcine regions bilaterally is not specific for a single etiology. Acute disseminated encephalomyelitis is a likely possibility in the given clinical setting. The possibility of vascular lesions seem less likely.


































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