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Name of the Patient : Abc Xyzn lmn / M / 8 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O cerebral palsy with hypotonia. H/O seizures.
C/O diminished vision bilaterally since the age of 2 years with seizures on 00.00.0000.

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.

3 mm thick STIR coronal images through optic nerves.

OBSERVATION :

There is thickening of the gyri in the right occipito-parietal region with involvement of the calcarine cortex. This is hypointense to gray matter on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images.

A subtle hyperintense signal is seen on the proton, T2 Weighted and FLAIR images in the right thalamus and is hypointense to white matter on the T1 Weighted images.

The visualized optic nerves appear smaller in calibre with prominent perioptic CSF space.

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 no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.



- 2 - Scan-00005


IMPRESSION :

1. Thickening of the gyri in the right occipito-parietal region with altered signal within the right thalamus as described. This is not specific for a single etiology. The
possibilities to be considered are,

a. Post-ictal phenomenon.

b. Ischemia.

c. Encephalitis.

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