sb/bv/rg.
Name of the Patient : Abc Xyzl Shlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O head injury 9 years ago.
C/O ? seizures since then.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
3 mm thick T2 Weighted coronal images.
OBSERVATION :
There is an ill-defined, hypointense signal on the T1 Weighted images in the left inferior frontal cortex and in the right temporal cortex. These lesions appear hyperintense on the proton and T2 Weighted images and represents encephalomalacic areas, most likely the sequelae of previous contusions (known C/O head trauma 9 years back). Resultant slight volume loss is also noted in these region (Scans 103.11, 104.11, 105.22-23, 106.15-17, 109.3-9, 105.16, 106.10-11).
There is a small bright focus, best appreciated on the FLAIR coronal images in the fronto-temporal region (scans 106.8) which is of ? etiology (? ischemic ? previous diffuse axonal injury).
The hippocampal complex on either side is unremarkable.
Both the lateral, 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.
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IMPRESSION :
Altered signal in the left inferior frontal cortex and in the right temporal cortex with slight volume loss most likely represents encephalomalacic areas, the sequelae of previous contusions (known C/O head trauma).