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ke/hs/nl/rg.

Name of the Patient : Abc Xyzh Plmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is slight reduction in the volume of the tail of the
hippocampus on the left side. The tail and body of the left hippocampus shows a hyperintense signal on the T2 Weighted images.

The right hippocampal complex is unremarkable.

An area which is near isointense to CSF on all the pulse sequences is seen within the right inferior frontal lobe (se/im:102/9, 102/10, 104/9 and 104/10) and this may represents an area of cystic encephalomalacia (? previous injury).

There is marked prominence of the cerebellar folia bilaterally with fullness of the fourth ventricle.

Asymmetric fullness of the left ventricle is seen as compared to the right and may be a normal variant.

The third ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.






- 2 - Scan-00009


There is slight prominence of the diploic space of the skull.

Incidental note is made of inflammatory changes in the left maxillary sinus and ethmoidal air cells.

IMPRESSION :

1. Hippocampal sclerosis on the left side.

2. Cerebellar atrophy.

3. An area of cystic encephalomalacia in the right inferior frontal lobe (? previous injury).

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