Date : 00.00.00
Name of the Patient : Abc Xyza G. Jalmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).
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.
The brain was screened with 5 mm thick T1 Weighted axial and sagittal images and 5 mm thick FLAIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
There is still seen 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. These lesions appear relatively hypointense to normal grey matter on the T1 Weighted images.
After administration of contrast, there is no focal or diffuse area of abnormal enhancement in the brain parenchyma or the meninges.
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.
The previously identified altered signal intensity lesions are grossly unchanged on the present study. There is no focal or diffuse area of abnormal enhancement in the brain parenchyma or the meninges after contrast administration.