sb/hs/rg.

Name of the Patient : Abc Xyz Talim Huslmn / M / 12 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O MR with seizures, speech disturbance, behavioral changes and right hemihypertrophy.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical and deep white matter in the frontal and parietal regions bilaterally. These lesions appear hypointense on the T1 Weighted images.

The body of the corpus callosum appears atrophied.

There is mild 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.

Screening T2 Weighted sagittal images of the cervico-dorsal region reveals a suspicious hyperintense signal in the upper cervical region. If clinically indicated, a dedicated study of the cervical spine would be worthwhile.
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- 2 - Scan-00009


IMPRESSION :

Altered signal in the subcortical and deep white matter in the frontal and parietal regions bilaterally is not specific for a single etiology. These changes may either represent ischemic lesions or demyelinating lesions (?? adrenoleukodystrophy).

Atrophy of the body of the corpus callosum is also noted.