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sb/ke/nl/rg.

Name of the Patient : Abc Xyzc Rlmn / M / 2 1/2 yrs.
Referred by : Dr. Abc Xyztor.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever since 00.00.00. Dysarthria and swaying gait more on the right since the last few days.

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.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and Flair images in the cerebellar white matter, subcortical white matter in the fronto-temporo-parietal regions bilaterally and in the left corona radiata and centrum semiovale bilaterally. These lesions appear iso to hypointense to the white matter on the T1 Weighted images.

Prominent perivascular space is noted in the left centrum semiovale.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of enlarged adenoids.
..2/.










- 2 - Scan-00008


IMPRESSION :

Altered signal in the cerebellar white matter bilaterally, subcortical white matter in the fronto-temporo-parietal regions bilaterally and in the left corona radiata and centrum semiovale bilaterally is not specific for a single etiology. These changes most likely represent a demyelinating lesion. Acute disseminated encephalitis is a likely possibility in the given clinical setting.

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