Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 6 months.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
There is beaking of the cerebellar tonsils and the tip is seen to lie at the level of the foramen magnum.
A lacunar infarct is seen in the right corona radiata (scans 103.13, 102.13, 104.13)
Hyperintense foci are seen in both periventricular regions adjacent to the frontal horns, both centrum semiovale and left corona radiata on the proton and T2 Weighted images and these may be ischemic in etiology.
The hippocampus complex on either side is unremarkable.
There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic, with indentation upon the ventral aspect of the pons.
Incidental note is made of bilateral maxillary polyps and mild inflammatory changes in the ethmoidal air cells.
The MRI features are suggestive of :
1. Beaking of the cerebellar tonsils with the tip seen to lie at the level of the foramen magnum.
2. Ischemic changes in the periventricular regions, left corona radiata and centrum semiovale bilaterally.
3. Lacunar infarct in the right corona radiata.