Name of the Patient : Abc Xyz K. Almaklmn / F / 50 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O multiple sclerosis.
C/O difficulty in walking.
H/O anterior decompression with C5-C6 discectomy.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
There are hypointense areas on the T1 Weighted images in the right frontal and the left posterior parietal deep white matter. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images.
Smaller cigar shaped lesions are seen on the proton, T2 Weighted and FLAIR images in the left frontal, periatrial deep white matter and bilateral corona radiata. These are isointense to white matter on the T1 Weighted images.
After administration of contrast, there is no area of abnormal enhancement within the supratentorial or the infratentorial region or along the meninges.
- 2 - Scan-00005
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci in the high fronto-parietal regions bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Note is made of bilateral maxillary polyps and inflammatory changes in the ethmoidal air cells.
Areas of altered signal in both frontal, left posterior parietal periatrial deep white matter and corona radiata bilaterally represent demyelinating plaques in the given clinical impression of multiple sclerosis.