Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 26 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever with chills since 15 days.
C/O seizures, altered sensation and weakness of BLE since 00.00.00.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.
SOME IMAGES SHOW PATIENT MOTION.
There are hyperintense areas on the proton, T2 Weighted and FLAIR images within both cerebral peduncles.
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.
Screening T2 Weighted images of the cervical spine reveal a suspicious hyperintense signal within the cervical spinal cord over the C3 to C6 vertebral levels. A small right paracentral disc herniation is noted at the C3-C4 level.
1. Altered signal within both cerebral peduncles is not specific for a single diagnosis. Such changes may be seen with ADEM.
2. Suspicious altered signal within the cervical spinal cord over C3 to C6 vertebral levels may suggest myelitis/ADEM in the given clinical setting. A dedicated cervical spine study is indicated, preferably under sedation.