Date : 00.00.00
Name of the Patient : Abc Xyzollmn / M / 15 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O febrile illness 1 month back with quadriparesis since 15 days.
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 near symmetric, ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, bilateral capsular regions, centrum semiovale and thalami, in the brainstem and in the white matter in the cerebellar hemispheres bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images. Few cystic (hypointense on the T1 Weighted and FLAIR images) areas are seen in the parietal lobes bilaterally.
Both the lateral and third ventricles are normal. Mild effacement of the fourth ventricle is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Near symmetric, altered signal intensity in the cerebral and cerebellar hemispheres bilaterally and in the brainstem as described is not specific for a single etiology. Post-infective demyelination seems a likely possibility in the given clinical setting (leukodystrophies may have a similar appearance)