hs/bv/nl.
/287 Date : 05/00.00.00
Name of the Patient : Abc Xyzh Upadlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
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 T1 Weighted and T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are small areas of hyperintensity on the Flair, proton and T2 Weighted images within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images. They do not enhance after contrast administration.
There is mild prominence of the cerebellar folia bilaterally.
The hippocampal complex is unremarkable on either side.
Scan-00003/287
There is no focal area of abnormal enhancement within the brain or along the meninges on this scan.
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.
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity within the white matter in the fronto-parietal lobes bilaterally and these are of undetermined etiology.
The following possibilities may be considered :
1. Ischemia.
2. Demyelination.
3. Metabolic disorders.