Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 33 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 10 years.
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 T2 Weighted and 5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
Limited 2D PC MRA sequence was obtained.
There is volume loss of the left cerebral hemisphere. Thinning of the cortex of the left cerebral hemisphere is noted, with prominent sulcal spaces. There is resultant mild dilatation of the left lateral ventricle and slight thickening of the skull vault of the left hemicranium, more so in the frontal region. Slight hypertrophy of the left frontal sinus is noted as compared to the right. There is an ill-defined, hyperintense signal on the T2 Weighted and FLAIR images in the subcortical white matter in the left temporo-parieto-occipital region. This signal appears isointense to the normal white matter on the T1 Weighted images. Few similar areas are also seen in the left frontal region.
There is prominence of the cerebellar folia bilaterally, right more than left (? crossed cerebellar diaschisis).
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is mild pull of the midline to the left. The left middle and posterior cerebral arteries appear smaller in calibre when compared to the right.
Inflammatory changes are noted in the right maxillary sinus.
Volume loss of the left cerebral hemisphere with prominent sulcal spaces and mild dilatation of the left lateral ventricle suggest left sided hemiatrophy, most likely the sequelae of a previous vascular insult.