Date : 00.00.00
Name of the Patient : Abc Xyz Echlmn / F / 49 yrs.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with nausea since 20 years.
Also C/O neck pain radiating to the RUE since 3-4 years.
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 coronal images.
5 mm thick T1 Weighted sagittal images.
There is a hyperintense signal on the T1 Weighted images along the posterior part of the body and the splenium of the corpus callosum and is seen to follow fat signal intensity characteristics on all the pulse sequences.
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.
Inflammatory changes are noted in the mastoid air cells on the right side.
The cervical spine was screened with 4 mm thick T2 Weighted
sagittal images. Posterior disc herniation is seen at the C5-C6 level with anterior indentation of the thecal sac. Small posterior peridiscal osteophytes are noted at the C4-C5, C5-C6 and C6-C7 levels.
The MRI features are suggestive of :
1. Altered signal along the posterior part of the body and the splenium of the corpus callosum would represent a pericallosal ribbon like lipoma.
2. Posterior disc herniation at the C5-C6 level with small posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.