Date : 00.00.00
Name of the Patient : Abc Xyzrinath lmn / M / 38 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever in December 0000 with weakness of BLE and tingling in BUE and BLE since then.
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 Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the cerebral peduncles and the putamen bilaterally. These are hypointense to normal white matter on the T1 Weighted images. Similar but smaller area is seen in the splenium of the corpus callosum in the centre (102.12/13).
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.
Incidental note is made of left maxillary polyp.
Altered signal in the cerebral peduncles, the putamen bilaterally and in the splenium of the corpus callosum is not specific for a single etiology. A metabolic etiology/encephalopathy should be considered as a differential diagnosis.
As compared to the previous MRI dated 00.00.00, there is reduction in the size and distribution of the above mentioned lesions.