Date : 00.00.00
Name of the Patient : Abc XyzNlmn / M / 17 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures on 00.00.00.
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.
5 mm thick FLAIR coronal images.
There are (atleast two) linear hyperintense signals on the proton, T2 Weighted and FLAIR images in the white matter oriented perpendicular to the left lateral ventricular wall. These lesions appear hypointense to normal white matter on the T1 Weighted images.
A cystic lesion following CSF signal on all the pulse sequences is noted in the right choroid fissure.
The hippocampal complex is unremarkable on either side.
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.
A polyp is noted in the left maxillary antrum.
1. Altered signal in the white matter adjacent to the left lateral ventricle is not specific for a single etiology. The morphology and signal characteristics favour demyelinating lesions. The possibility of ischemic lesions or prominent perivascular spaces seems less likely.
2. Right sided choroid fissure cyst.