hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzmar Bhallmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O seizures and behavioral disturbances.
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 T2 Weighted coronal images.
OBSERVATION :
Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen ventral to the anterior commissure. These are hypointense to white matter on the T1 Weighted images.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The hippocampus on either side is unremarkable.
The fourth ventricle is 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 sphenoid sinus and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity ventral to the anterior commissure. These are of undetermined etiology (? ischemic ? demyelination).