Date : 00.00.00
Name of the Patient : Abc Xyzhankar Mlmn / M / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O neurogenic bladder with paraparesis since 4 years.
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.
There are small bright foci on the proton, T2 Weighted and FLAIR images in the insular cortex bilaterally, left lentiform nucleus posteriorly and left thalamus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild dilatation of both the lateral and third ventricles. 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.
Altered signal in the insular cortex bilaterally, left lentiform nucleus posteriorly and left thalamus are not specific for a single etiology. Possibilities to be considered are :
Mild dilatation of both the lateral and third ventricles.
As compared to the previous MRI (study no:00000) dated 00.00.00, there is slight increase in the degree of the ventricular dilatation on the present study. The left thalamic lesion is a new lesion.