Date : 00.00.00
Name of the Patient : Abc Xyz W. Salmn / F / 6 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with seizures since 00.00.00. On anti-epileptics.
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 T1 Weighted and T2 Weighted coronal images.
There is no abnormal area of altered signal intensity within the brain parenchyma. Hyperintense areas on the T2 Weighted images in the posterior parietal region (scans 103.14, 103.15) represent terminal areas of myelination.
The posterior head and body of the right hippocampus shows decreased volume with a prominent
temporal horn as compared to the opposite side. There is however no change in signal intensity
(scans 106.9-11, 107.9-11).
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 left maxillary sinus, left mastoid air cells and enlarged adenoids.
Decrease in volume of the right hippocampus without appreciable change in signal
Right hippocampal sclerosis should be excluded.