sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 16 yrs.
Referred by : Dr. Abc Xyzi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O ALL, detected 8 years back. Has received Chemotherapy and cranial irradiation (completed 4 years back).
Now C/O memory loss.

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 a small bright focus on the FLAIR images in the subcortical white matter in the right frontal, parafalcine region (se/im 105.16). This lesion is not well-appreciated on the axial images. Small foci with similar signal characteristics are also seen in the parietal white matter bilaterally.

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.

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

Altered signal in the subcortical white matter in the right frontal, parafalcine region and in the parietal white matter bilaterally is not specific for a single etiology. These most likely represent gliotic/ischemic foci.