Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 3 months of age.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
There are small bright foci on the proton and T2 Weighted images in the subcortical white matter in the left frontal region. These lesions appear hypointense on the T1 Weighted images and may represent prominent perivascular spaces (scans 104.12, 102.12, 103.4).
There is reduction in the volume of the body of the left hippocampus which appears slightly hyperintense on the T2 Weighted images when compared to the right side. Mild fullness of the temporal horn of the left lateral ventricle is also noted (scans 105.5 - 105.9, 106.5 - 106.9).
Both the lateral, third and the fourth ventricles are otherwise unremarkable. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
A subgaleal lipoma is noted at the vertex, more to the left of the midline.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
Reduction in the volume of the left hippocampus with altered signal suggests left hippocampal sclerosis.