Date : 00.00.00
Name of the Patient : Abc Xyzik Jarilmn / M / 14 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident 4 months back.
C/O myoclonic jerks. Patient is subconscious since 15 days.
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 Gradient Echo coronal images.
5 mm thick T1 Weighted sagittal images.
There are diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the frontal, right temporal and left occipital lobes, cerebellar hemispheres bilaterally, middle cerebral peduncles, pons. There is involvement of the grey as well as the white matter. However there is sparing of the cortical spinal tract.
There appears to be occipitalization of the atlas with atlanto-dens subluxation. The tip of the odontoid process is seen to indent the cervico-medullary junction.
Both the lateral and the third ventricles are slightly full. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary and sphenoid sinuses and in the mastoid air cells.
The MRI features are suggestive of diffuse, irregularly defined lesions within the frontal, right temporal and left occipital lobes, cerebellar hemispheres bilaterally, middle cerebral peduncles and pons as described.
As compared to the previous MRI (scan no.00007) dated 00.00.00, new lesions are now noted as described, with non-visualization of the lesions in the parietal lobes.