Date : 00.00.00
Name of the Patient : Abc Xyz Almn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O high grade fever, loss of consciousness for 24 hours, generalized dystonia and involuntary movements of head and BUE since then.
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 no focal area of altered signal intensity within the brain parenchyma.
There is beaking of the cerebellar tonsils and are seen to lie at the level of the foramen magnum.
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.
Incidental note is made of inflammatory changes in the maxillary sinuses, left more than right and enlarged adenoids.
IMPRESSION :
No significant abnormality is detected in the brain parenchyma per se.