sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Blmn / F / 74 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzdar.
Examination : Limited M.R.I. of the Brain.

CLINICAL PROFILE :

C/O subarachnoid haemorrhage. Shunt surgery was done on 00.00.00.
For ventricular size estimation.

EXAMINATION :

Follow-up M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton density and T2 Weighted axial images to check the size of the ventricles.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is evidence of a left fronto-temporal craniectomy.

There is still seen, mild to moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is unremarkable.

The tip of the shunt tube is noted in the body of the right lateral ventricle. Minimal fluid level is noted in the occipital horns of the lateral ventricles bilaterally with presence of subarachnoid blood as previously described.

Note is made of inflammatory changes in the mastoid air cells bilaterally and left maxillary sinus.

IMPRESSION :

1. Post-shunt status.

2. As compared to the previous MRI dated 00.00.00 (study no:00002), there is minimal decrease in the size of the ventricles.