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sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzShlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 3 years.

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 coronal images.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There is volume loss of the right cerebellar hemisphere, inferiorly and in the left parieto-occipital parafalcine region. The cortex in these areas appears hypointense on the T1 Weighted images and follows CSF signal on all pulse sequences, representing areas of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Hyperintense areas on the T2 Weighted and FLAIR images at the periphery of the lesion in the left parieto-occipital region would represent gliotic changes. A focus of similar signal is also noted in the left thalamus.

The hippocampal complex on either side is unremarkable.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Polyps are noted in the maxillary antra bilaterally.
..2/.





- 2 - Scan-00009


IMPRESSION :

Volume loss of the right cerebellar hemisphere, inferiorly and in the left parieto-occipital parafalcine region with altered signal along their cortex, represents areas of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. An ischemic focus is also noted in the left thalamus.














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