Date : 00.00.00
Name of the Patient : Abc Xyzd lmn / F / 18 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever with altered sensorium since 3 days with 1 episode of seizures 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.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
There are hyperintense areas in the head of the right caudate nucleus on the proton, T2 Weighted and FLAIR images. These are isointense to normal white matter on the T1 Weighted images and may represent ischemic changes.
The hippocampal complex on either side is unremarkable.
There is mild to moderate dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. 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 right maxillary sinusitis and mild inflammatory changes in the ethmoidal air cells.
1. Altered signal in the head of the right caudate nucleus may represent an ischemic lesion in the given clinical setting.
2. Mild cerebral and cerebellar atrophy with dilatation of the lateral ventricles.
A contrast enhanced scan may be indicated to rule a granuloma in the head of the right caudate nucleus.