Date : 00.00.00
Name of the Patient : Abc Xyzaghralmn / M / 15 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall with left sided hemiplegia in 0000 from which patient has recovered partially.
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 is volume loss in the right posterior parietal region. CSF signal intensity lesion on all the pulse sequences is noted in the right posterior parietal region which represents an area of cystic encephalomalacia. Perilesional white matter hyperintense signal on the proton, T2 Weighted and FLAIR images in that region most likely represents gliotic changes.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images. Involvement of the genu and splenium of the corpus callosum is noted.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
1. Volume loss in the right posterior parietal region with altered signal as described represents cystic encephalomalacia with perilesional gliotic change most likely the sequelae of a previous vascular insult.
2. Altered signal in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally is not specific for a single etiology. Ischemic changes or demyelinating lesions may be considered as differential diagnosis.