sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzl M. lmn / M / 11 yrs.
Referred by : Dr. Abc Xyz. Parmar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 year.
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.
OBSERVATION :
There is a hyperintense signal (isointense to grey matter) on the proton and T2 Weighted images in the periventricular white matter in the right frontal region. This lesion appears hypointense to normal white matter on the T1 Weighted images (se/im:104/14, 104/15, 103/14, 103/15, 105/14, 105/13, 108/14, 108/15, 109/14 and 109/15).
The hippocampal complex is unremarkable on either side.
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 paranasal sinuses.
IMPRESSION :
Altered signal in the periventricular white matter in the right frontal region most likely represents grey matter heterotopia (less likely to represent demyelination).