Date : 00.00.00
Name of the Patient : Abc Xyzra Shelmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures with MR and diminished vision of both eyes.
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.
5 mm thick T1 Weighted sagittal images.
There are ill-defined hypointense areas in bilateral parieto-occipital region which are seen to follow CSF signal characteristics on all the pulse sequences. Perilesional hyperintense areas are seen on the proton, T2 Weighted and FLAIR images bilaterally which are hypointense to the normal white matter on the T1 Weighted images and would represent areas of gliosis. There is dilatation of the occipital horns and the atrium of both the lateral ventricles which are seen to abut the grey matter in the occipital lobes bilaterally.
There is thinning of the corpus callosum, especially the body and splenium.
There is mild dilatation of both the lateral ventricles. The 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.
The MRI features are suggestive of periventricular leukomalacia in the parieto-occipital regions bilaterally as described.