Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 22 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O delivery 2 months back with behavioural changes, and loss of consciousness since 1 month.
C/O pregnancy induced hypertension.
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.
There are ill-defined, hypointense areas on the T1 Weighted images involving the cortex and subcortical white matter in the frontal and parietal regions bilaterally and to some extent in the left occipital region. These areas appear hyperintense on the proton, T2 Weighted and FLAIR images. A hyperintense signal on the T1 Weighted images is noted along the cortex in the right high parietal region. This signal change may either represent paramagnetic substance deposition or hemoglobin breakdown products.
There is mild dilatation of both the lateral, third and the fourth ventricles. Hypointense signal is seen in the posterior third ventricle and aqueduct suggesting increased flow. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the mastoid air cells on the right side. The pituitary gland has a superior convex margin which is consistent with the patients physiological status.
Altered signal involving the cortex and subcortical white matter in the frontal and parietal regions bilaterally and to some extent in the left occipital region represent gliotic/ encephalomalacic changes, most likely the sequelae of a previous vascular insult. Mild communicating hydrocephalus is also noted.