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Date : 00.00.00

Name of the Patient : Abc Xyzernalmn / M / 21 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O fall from a train with head injury in September 0000.
On Eptoin.
No complaints at present. For follow up.

EXAMINATION :

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.

OBSERVATION :

There are hypointense areas in the inferior frontal lobes bilaterally on the T1 Weighted images which are seen to follow CSF signal intensity characteristics on all the pulse sequences. Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen at the periphery of this lesion. These are hypointense to white matter on the T1 Weighted images and would represent areas of gliosis. These in toto would represent areas of cystic encephalomalacia.

There is mild prominence of the cerebellar folia bilaterally.

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 an areas of cystic encephalomalcia in the inferior frontal lobes bilaterally.


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