Date : 00.00.00
Name of the Patient : Abc Xyzk Kalmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000.
H/O surgery of the right eye on 00.00.00 ? cause (details not available).
C/O blurred vision in the left eye since 15 days.
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 is still seen a subtle hyperintense signal in the right periatrial deep white matter on the proton, T2 Weighted and Flair images which is isointense to white matter on the T1 Weighted images.
The hippocampal complex on either side is unremarkable.
There is slight fullness of the left lateral ventricle as compared to the right. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally with fullness of the fourth ventricle.
An intermediate signal is seen on the T1 Weighted images within the left transverse and sigmoid sinuses and the internal jugular vein. This is seen to turn hyperintense on the proton and T2 Weighted images and would represent a slow flow/thrombus.
The right lateral and the third ventricles are unremarkable. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of a maxillary polyp.
1. Altered signal in the right periatrial deep white matter would represent areas of ischemia/gliosis.
2. Slow flow/thrombus within the left transverse and sigmoid sinuses and the internal jugular vein.
As compared to the previous MRI (study no:00003) dated 00.00.00 slow flow/thrombus is seen in the left transverse and sigmoid sinuses and in the internal jugular vein.