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Date : 00.00.00

Name of the Patient : Abc XyzK. lmn / F / 20 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O admitted with headaches, vomiting and fever with altered sensorium 10 days back.

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 :

The pons and midbrain appear swollen.

There is an ill-defined, hyperintense signal on the proton,
T2 Weighted and FLAIR images in the pons, midbrain, subthalamic region bilaterally, middle cerebellar peduncles bilaterally and in the right inferior frontal and bilateral medial temporal cortex. This lesion appears hypointense on the T1 Weighted images. Resultant effacement of the fourth ventricle, peripontine and ambient cisterns is noted.

There is mild dilatation of both the lateral and third ventricles. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Altered signal in the pons, midbrain, subthalamic region bilaterally, middle cerebellar peduncles bilaterally and in the right inferior frontal and bilateral medial temporal cortex is not specific for a single etiology. Encephalitis is a likely possibility. The possibility of vasculitis (? tuberculous vasculitis, in view of the CSF picture) is less likely.
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