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hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Salulmn / F / 2 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever, vomiting, loose motions and seizures (single episode on 00.00.00) since 5-6 days.
C/O left hemiparesis since 3 days.

EXAMINATION :

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 sagittal images.
5 mm thick FLAIR coronal images.

OBSERVATION :

There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the putamen and the head of the caudate nuclei bilaterally.

There are areas following CSF signal characteristics on all the pulse sequences anterior to both temporal lobes and these may represent arachnoid cysts.

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.

The cervical spine was screened with 3 mm thick T2 Weighted sagittal and FLAIR coronal images and does not reveal any significant feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal within the putamen and the head of the caudate nuclei bilaterally and this may be the result of hypoxic-ischemic insult.
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