Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O aphasia since 1 week.
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.
There is evidence of gyral thickening with effacement of the adjacent cerebral cortical sulci in the left frontal lobe. This lesion is hypointense on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images.
Areas which are near isointense to CSF on all the pulse sequences are seen within the superior aspect of the right cerebellar hemisphere and left occipital lobe. Adjacent to these are areas of hyperintensity on the proton, T2 Weighted and FLAIR images and these may represent gliotic changes. There is ex-vacuo dilatation of the occipital horn of the left lateral ventricle These lesions in toto would repersent areas of cystic encephalomalacia.
Small areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the thalamus bilaterally (left more than right) and in the frontal white matter bilaterally. These are isointense to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
- 2 - Scan-00003
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 MRI features are suggestive of :
1. An area of altered signal in the left frontal lobe would represent a recent infarct.
2. Areas of cystic encephalomalacia within the superior aspect of the right cerebellar hemisphere and left occipital lobe.
3. Areas of altered signal within the thalamus bilaterally (left more than right) and in the frontal white matter bilaterally are most likely ischemic in etiology.