Name of the Patient : Abc Xyz Sailmn / F / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T2 Weighted and 5 mm thick FLAIR coronal images.
There is volume loss in the left posterior parietal region. Overall, the left cerebral hemisphere appears slightly smaller when compared to the right.
There is a well marginated, approximately 9.0 mms diameter sized hypointense lesion more pronounced on the proton and T2 Weighted images in the subcortical white matter in the left posterior parietal region. Perilesional white matter hyperintense signal on the proton, T2 Weighted and Flair images is noted which may represent gliotic changes (in view of the associated volume loss).
The left hippocampus is reduced in bulk and shows a hyperintense signal on the T2 Weighted images suggesting hippocampal sclerosis.
There is mild asymmetric fullness of the left lateral ventricle as compared to the right. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary antra and mastoid air cells bilaterally.
1. An approximately 9.0 mms diameter lesion in the subcortical white matter in the left posterior parietal region represents a calcified granuloma. Perilesional volume loss and gliotic changes are noted.
2. Decrease in bulk of the left hippocampus with altered signal suggest left sided mesial temporal sclerosis.
3. Overall, decrease in the size of the left cerebral hemisphere when compared to the right with mild asymmetric fullness of the left lateral ventricle may suggest left cerebral hemiatrophy.