sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Nlmn / F / 5 1/2 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O one episode of convulsion, vomiting and fever since 2 days.
Patient is blind since birth. (Right eye - membrane in midvitreous with shallow retinal detachment and left eye - organised vitreous left eye).
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.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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.
Mucosal thickening is noted in the maxillary sinuses bilaterally, in the ethmoidal air cells and enlarged adenoids.
Both the globes appear smaller in size and show changes suggestive of pthysis bulbi. The optic nerves on either side appear smaller in calibre. It is difficult to appreciate any signal intensity change in the optic nerves.
IMPRESSION :
1. No significant abnormality detected within the brain parenchyma per se.
2. Changes in the globes on either side suggest pthysis bulbi.
3. Optic nerve atrophy bilaterally.