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Date : 00.00.00

Name of the Patient : Abc Xyzk Kuvlmn / M / 6 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.


H/O fever since 00.00.00.
C/O loss of consciousness with vomiting since 00.00.00.
C/O left sided convulsions since 2 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.

3 mm thick T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.


There is a hypointense area on the T1 Weighted images within the right thalamus. This is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images.

The hippocampal complex on either side is unremarkable.

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.


Altered signal within the right thalamus is not specific for a single etiology.

The possibilities to be considered are :

1. Infarct, (? venous).
2. Encephalitis.
3. ?? mytochondrial encephalopathy.

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