ke/sb/nl/rg.

Name of the Patient : Abc Xylmn / M / 47 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.

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 is an ill-defined, hypointense area on the T1 Weighted images in the right inferior frontal and frontal lobe. This is seen to follow CSF intensity characteristics on all the pulse sequences. Hyperintense areas are noted at the periphery of this lesion on the proton, T2 Weighted and Flair images which are hypointense to the normal white matter on the T1 Weighted images and would represent gliosis. There is dilatation of the frontal horn of the right lateral ventricle and this lesion would represent an area of cystic encephalomalacia.

The hippocampal complex on either side is unremarkable.

There is slight fullness of both the lateral ventricles. The 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 :

An area of cystic encephalomalacia with peripheral gliotic changes in the right inferior frontal and frontal lobe, ? due to previous trauma, ?? due to previous ischemic lesion.