hs/ke/nl/nl.

Name of the Patient : Abc Xyzan lmn / M / 2 yrs.
Referred by : Dr. Abc Xyzar.
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

C/O right sided hemiplegia with aphasia.
Alleged H/O fall from the staircase prior to this.

EXAMINATION :

The brain was screened with the help of 5 mm thick T1 Weighted sagittal images and T2 Weighted axial images.

MRV was performed using a 2D TOF technique.

OBSERVATION :

Diffuse, irregularly defined areas of hyperintensity on the T2 Weighted images are seen within the periventricular white matter and centrum semiovale bilaterally and these are most likely ischemic in etiology.

An area which is isointense to hyperintense to CSF on the T1 Weighted and T2 Weighted images is seen in the left frontal lobe and would represent an area of cystic encephalomalacia.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the frontal lobes bilaterally.

There is prominence of the cerebral cortical sulci in the frontal regions bilaterally.

There is fullness of the third and both the lateral ventricles.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.






INTRACRANIAL MRV :

On the MRV the visualized dural and deep venous sinuses show normal flow characteristics. No obvious venous thrombosis is evident on this scan.

IMPRESSION :

1. Areas of altered signal within the periventricular white matter and centrum semiovale bilaterally are most likely ischemic in etiology.

2. An area of cystic encephalomalacia in the left frontal lobe.

3. Lacunar infarcts within the frontal lobes bilaterally.

4. No significant abnormality detected on the Intracranial MR Venogram.