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Name of the Patient : Abc Xyzs Dlmn / M / 8 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures with mild mental retardation.

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 is a large extradural collection in the right fronto-temporo-parietal region which is seen to follow CSF signal intensity characteristics on all the pulse sequences. There is dilatation of the body of the right lateral ventricle especially, in the occipital horn. Few septae are noted within this lesion.
There seems to be communication of the lesion with the occipital horn.

There are hyperintense areas on the proton, T2 Weighted and Flair images in the right thalamus and right posterior parietal region. These are hypointense to white matter and represent areas of gliosis.

There is thinning of the body and the splenium of the corpus callosum. Blunting of the right cerebral peduncle is noted, suggesting Wallerian degeneration.

The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
..2/.







There is suggestion of narrowing of the M2 portion of the right middle cerebral artery.

Inflammatory changes are noted in mastoid air cells, bilaterally.

IMPRESSION :

1. Porencephalic cyst in the right fronto-temporo-parietal region with areas of gliosis in the right thalamus and right posterior parietal region with thinning of the body and the splenium of the corpus callosum.

2. Bilateral mastoiditis.



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