Name of the Patient : Abc Xyzit Klmn / M / 1 1/2 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures with delayed milestones.
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.
3 mm thick T2 Weighted coronal images.
There is hemispherical assymetry.
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the posterior parietal, periventricular white matter bilaterally reaching upto the ventricular wall. This signal appears hypointense to normal white matter on the T1 Weighted images. The grey matter is seen to abut the ventricles, with loss of underlying white matter.
There is thinning of the posterior body and splenium of the corpus callosum.
There is mild fullness of the left lateral ventricle as compared to the right. The 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.
Hemispherical assymetry with altered signal in the posterior parietal periventricular white matter bilaterally and thinning of the posterior body and splenium of the corpus callosum may suggest periventricular leukomalacia.