Date : 00.00.00
Name of the Patient : Abc Xyza G. Jalmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O insect bite at night with fall from bed 1 month back followed with abnormal behaviour, irrelevant talk and forgetfulness since then.
There is a subtle hyperintense signal on the FLAIR images along the gyri in the temporo-parietal and occipital parafalcine regions bilaterally and in the thalami and frontal regions bilaterally, better appreciated on the FLAIR images.
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 mild bilateral maxillary sinusitis.
The MRI features are suggestive of altered signal along the gyri in the temporo-parietal and occipital parafalcine regions bilaterally and in the thalami and frontal regions bilaterally. These changes are not specific for a single etiology.
Hypoxic-ischemic etiology is a likely possibility.
The possibility of encephalitis is less likely.