Date : 00.00.00
Name of the Patient : Abc Xyzal Chaudlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 00.00.00.
Known C/O diffuse proliferative glomerulonephritis in a C/O ANA positivity.
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.
3 mm thick T2 Weighted coronal images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, extending into the centrum semiovale. These lesions appear isointense to normal white matter.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the right maxillary antrum and mastoid air cells bilaterally.
- 2 - Scan-00004
Diffuse altered signal in the periventricular white matter bilaterally, extending into the centrum semiovale is not specific for a single etiology. These lesions may represent white matter ischemic changes/edema or may represent diffuse demyelinating lesions. Hypertensive encephalopathy should also be considered in the differential diagnosis.
A follow up scan would be worthwhile.