sb/bv/rg

Name of the Patient : Abc XyzD. Plmn / M / 17 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O MR with seizures.

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 :

There is volume loss in the parieto-occipital regions bilaterally with crowding of the sulci. There is an ill-defined, hyperintense signal on the T2 Weighted and FLAIR images along the cortex/subcortical white matter in the parieto-occipital regions bilaterally. The cortical sulcal spaces in the left cerebral hemisphere also appear slightly more prominent when compared to the right.

The hippocampal complex on either side is unremarkable.

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 ethmoidal air cells and frontal sinus on the right and in the maxillary sinuses bilaterally. Note is made of an enlarged adenoids.

IMPRESSION :

Volume loss with altered signal in the parieto-occipital regions bilaterally is most likely the sequelae of a previous vascular insult.