Date : 00.00.00
Name of the Patient : Abc Xyzalmn / F / 26 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures on 00.00.00 with fever.
Patient is pregnant.
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.
5 mm thick T1 Weighted sagittal images.
There is thickening of the gyri in the right frontal lobe. These are hypointense to grey matter on the T1 Weighted images and turn hyperintense on the proton, T2 Weighted and Flair images. Few areas are seen to be markedly hypointense on the Fast Scan (T2 *) images and may represent altered blood. There is minimal mass effect with effacement of the adjacent sulci. A smaller lesion with similar signal characteristics is seen in the left frontal lobe.
An intermediate signal intensity lesion is seen within the superior sagittal sinus on the T1 Weighted images. This is heterogeneously hyperintense on the proton, T2 Weighted and Flair images and may represent a thrombus (? partially recanalized).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The MRI features are suggestive of a hemorrhagic infarct in the right frontal lobe and an infarct in the left frontal lobe with a probable thrombus in the superior sagittal sinus, (? partial recanalization) as described.