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hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznnum lmn / M / 6 months.
Referred by : Dr. Abc Xyzarmar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever, seizures, vomiting and altered sensorium since 2-3 days.
O/E patient had hepatomegaly with SGPT on higher side.
Clinical impression is Reyes syndrome.

EXAMINATION :

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.

OBSERVATION :

There are diffuse, irregularly defined areas of hyperintensity on the proton and T2 Weighted images within the temporo-parietal lobes bilaterally with involvement of the cortical grey as well as white matter. These are near isointense to grey matter on the T1 Weighted images (scans 103.9-11) Suspicious changes are seen in the dentate nuclei bilaterally.

The myelination pattern appears normal for the patients age.

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.

Subgaleal edema is noted in the left temporo-parietal region.

IMPRESSION :

The MRI features are suggestive of areas of altered signal within the temporo-parietal lobes bilaterally as described. These are not specific for a single etiology. Such changes may be seen with encephalitis/ADEM or Reyes Syndrome.
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