Name of the Patient : Abc Xyzsh Vlmn / M / 10 yrs.
Referred by : Dr. Abc Xyzshmukh.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches.

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 T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

MR cisternogram was obtained in the sagittal plane.

OBSERVATION :

There is beaking of the cerebellar tonsils with slight inferior herniation of the tonsils through the foramen magnum. Also seen is an enlarged massa intermedia with resultant chinking of the third ventricle. The tectum of the midbrain appears bulbous.

There is asymmetric fullness of the right lateral ventricle as compared to the left side. Note is made of an empty sella.

There is suspicious herniation of the inferior frontal lobes through the cribriform plate of the ethmoid bone (Scan 106.19).





The fourth ventricle is normal. No obvious vascular anomaly is identified on this study.

Note is made of enlarged adenoids.

IMPRESSION :

The MRI features are suggestive of beaking of the cerebellar tonsils with slight inferior herniation through the foramen magnum, an enlarged massa intermedia and a bulbous tectum and such findings may be seen with a Chiari malformation.