Date : 00.00.00
Name of the Patient : Abc Xyz Molmn / F / 4 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Past H/O draining of a multilobulated right subdural collection in September 0000.
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 T1 Weighted sagittal images.
There is volume loss in the right cerebral hemisphere. There is an ill-defined, hypointense signal on the T1 Weighted images along the right fronto-temporo-parietal cortex and subcortical white matter. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images and represents gliotic/encephalomalacic changes, most likely the sequelae of previous insult. Resultant mild dilatation of the right lateral ventricle is noted as compared to the left with mild pull of the midline structures to the right. Minimal prominence of the CSF space overlying the right fronto-temporo-parietal convexity is noted.
Slight thinning of the genu and body of the corpus callosum is noted.
There is mild fullness of the left lateral ventricle. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
Volume loss in the right fronto-temporo-parietal region with altered signal in the right fronto-temporo-parietal cortex as described, most likely is the sequelae of a previous insult.
The patient is status post-operative for multiple loculated subdural collections.
As compared to the previous MRI dated 00.00.00, (scan no:0000), there is no significant change noted.