Date : 00.00.00
Name of the Patient : Abc Xyzal Glmn / M / 2 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever with seizures and altered sensorium since 15 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 and T2 Weighted coronal images.
There is evidence of an area of hyperintensity on the proton, T2 Weighted and FLAIR images within the right lentiform nucleus. This is isointense to gray matter on the T1 Weighted images. A smaller similar area is noted within the left lentiform nucleus and both cerebral peduncles.
The white matter in both the cerebral hemispheres is ill-defined and shows a subtle increase in signal intensity on the proton and T2 Weighted images.
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.
The MRI features are suggestive of altered signal intensity within the lentiform nuclei bilaterally and cerebral peduncles and ill-defined white matter changes. Such changes may be seen with ADEM/encephalitis.