Date : 00.00.00
Name of the Patient : Abc Xyze Shlmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O high grade fever with chills and rigors at the age of 15 years.
C/O neck stiffness, slurred speech and decreased mental function since then.
Also H/O urinary incontinence till the age of 12 years.
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.
There are ill-defined hypointense areas on the T1 Weighted images in the lentiform nuclei bilaterally, head of left caudate nucleus and in the region of the dentate nuclei bilaterally. These lesions appear more hypointense on the proton, T2 Weighted and FLAIR images and are seen to bloom on the Fast Scan (T2 *) images. On the Fast Scan (T2 *) images, there are also seen small, focal hypointense lesions in the subcortical white matter in the fronto-parietal regions bilaterally.
There is mild dilatation of both the lateral, third and the fourth ventricles. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary antrum.
- 2 - scan-00002
Hypointense signal in the lentiform nuclei bilaterally, head of left caudate nucleus and in the region of the dentate nuclei bilaterally and in the subcortical white matter in the fronto-parietal regions bilaterally as described, represents calcification. The exact etiology of these calcific densities is not specific for a single diagnosis. They may be a sequelae of,
1. Neurodegenerative disorder.
2. Metabolic disorders.
3. Hypoxic-ischemic insult or
4. Intracranial infection.
Mild cerebral cortical and cerebellar atrophy is also noted with ventricular dilatation.