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ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzJ. Almn / F / 5 1/2 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O difficulty in speaking with breath holding spells.

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.

4 mm thick T1 Weighted coronal images.

OBSERVATION :

There are small hypointense areas in the frontal region bilaterally on the T1 Weighted images and are near isointense to
CSF on all the pulse sequences. Adjacent to these are hyperintense areas on the proton, T2 Weighted and FLAIR images and would represent areas of gliosis.

Subtle hyperintense areas on the FLAIR images are also seen in the right high parietal and bilateral posterior parietal region.

There is slight thinning of the corpus callosum.

Both the 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 enlarged adenoids.

- 2 - scan-00009

IMPRESSION :

1. Areas of encephalomalacia in the frontal region bilaterally (probably the result of hypoxic-ischemic changes).

2. Altered signal in the right high parietal and bilateral posterior parietal region could be due to previous hypoxia/ischemia.


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