Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Hippocampal Region.
CLINICAL PROFILE :
C/O seizures since the age of 2 months.
M.R.I of the hippocampal region was performed, as requested using the following parameters :
5 mm thick T1 Weighted and FLAIR coronal images.
3 mm thick T2 Weighted coronal images.
5 mm thick T2 Weighted axial images through the brain.
There is a large hypointense area in the right posterior parietal region on the T1 Weighted images. This is seen to follow CSF signal characteristics on the T2 Weighted images. Hyperintense areas are noted at the periphery of this lesion better appreciated on the FLAIR images which would represent areas of gliosis. There is dilatation of the atrium and posterior body of the right lateral ventricle. This lesion would represent an area of cystic encephalomalacia.
Similar smaller areas are seen in the posterior cerebellar hemispheres bilaterally.
The hippocampal complex is unremarkable on either side.
The left 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. Cystic encephalomalacia in the right posterior parietal region.
2. Area of gliosis bilaterally in the cerebellar, posteriorly.