Date : 00.00.00
Name of the Patient : Abc Xyz V. Glmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 7 years.
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 T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter bilaterally with a decrease in the bulk of the white matter. These would represent gliotic changes. The atria of the ventricles have an irregular wavy outline and are seen to nearly abut the gray matter. There is ex-vacuo dilatation of the atrium and occipital horn of both the lateral ventricles. Also seen is a slight decrease in the size of the posterior body and splenium of the corpus callosum.
Smaller areas with similar signal characteristics are seen within the the corona radiata bilaterally and right cerebellar hemisphere.
The 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.
Note is made of pansinusitis.
The MRI features are suggestive of periventricular leukomalacia as described.