Date : 00.00.00
Name of the Patient : Abc Xyzram Kollmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour since 1 1/2 years.
H/O evolving subcortical granuloma in 0000. Received AKT for 1 year.
H/O epilepsy since 0000.
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 ill-defined hypointense areas in the left temporo-parietal region on the T1 Weighted images which are seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas are seen at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are hypointense to normal white matter on the T1 Weighted images and would represent areas of gliosis. There is mild fullness of the atrium and occipital horn of the left lateral ventricle. This lesion in toto would represent an area of cystic encephalomalacia.
There is an ill-defined hyperintense signal on the T1 Weighted images in the lentiform nuclei bilaterally, extending into the subthalamic region. This signal appears isointense to normal grey matter on the T2 Weighted and FLAIR images.
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.
1. Areas of cystic encephalomalacia in the left temporo-parietal region, probably the sequelae of a previous vascular insult.
2. Altered signal in the lentiform nuclei bilaterally, extending into the subthalamic region may suggest paramagnetic substance deposition. Hepato-cerebral syndrome should be ruled out.