Date : 00.00.00
Name of the Patient : Abc Xyz. Salmn / F / 20 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever since 2 months with altered sensorium since 5 days.
C/O left sided focal seizure on 00.00.00.
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 hyperintense areas in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images. These are isointense to the white matter on the T1 Weighted images. Few similar lesions are seen in the subcortical frontal deep white matter bilaterally and in the right posterior parietal deep white matter.
There is mild dilatation of both the lateral ventricles.
The 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.
Incidental note is made of mild inflammatory changes in the mastoid air cells bilaterally and right maxillary sinusitis.
The visualized upper cervical region is unremarkable.
1. Altered signal in the periatrial deep white matter, in the subcortical frontal deep white matter bilaterally and in the right posterior parietal deep white matter is not specific for a single etiology. These may due to :
a. Evolving granulomas.
b. Ischemic changes secondary to vasculitis.
2. Mild dilatation of both the lateral ventricles.
A contrast enhanced scan would be worthwhile. (Patient refused contrast study).