Date : 00.00.00
Name of the Patient : Abc Xyz Chaphlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O heaviness of the LUE and LLE since 2 days.
H/O loss of vision on the right side for 5 days in 0000 and diminished vision on the left side in 0000. Recovered subsequently.
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 STIR coronal images through the optic nerves.
There is a hyperintense area in the left corona radiata adjacent to the body of the left lateral ventricle on the proton and T2 Weighted images. This is hypointense to white matter on the T1 Weighted images. The lesion appears to be cigar shaped. A similar lesion is seen in the right temporo-parietal region (se/im 103.13, 104.13).
Hyperintense areas are also seen in the right corona radiata and right periatrial white matter on the proton and T2 Weighted images.
The intracranial and intraorbital optic nerves appear to be decreased in calibre with prominence of the perioptic space.
The right 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 a left maxillary polyp and right maxillary sinusitis.
The MRI features are suggestive of lesions in the left corona radiata adjacent to the body of the left lateral ventricle, in the right temporo-parietal region, right corona radiata and right periatrial white matter represent demyelinating plaques (? multiple sclerosis).
Also seen is optic nerve atrophy bilaterally which may be the sequelae of previous demyelination.
As compared to the previous MRI dated 00.00.00, a fresh lesion is seen in the right temporo-parietal region. Also seen in optic nerve atrophy.