Date : 00.00.00
Name of the Patient : Abc Xyzik Jarilmn / M / 14 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident 2 months back.
C/O myoclonic jerks since 1 month.
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.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
There are diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the fronto-parietal lobes on the right side and left parietal lobe. There is involvement of the grey as well as the white matter.
There appears to be occipitalization of the atlas with atlanto-dens subluxation. The tip of the odontoid process is seen to indent the cervico-medullary junction.
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.
Inflammatory changes are noted in the left maxillary sinus.
The MRI features are suggestive of diffuse, irregularly defined lesion within the fronto-parietal lobes on the right side and left parietal lobe as described. These lesions are not specific for a single etiology. The differential diagnosis would include:
a. Infiltrative glioma.