Name of the Patient : Abc Xyz Heylmn / M / 22 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall with loss of consciousness for 1 day on 00.00.00.
C/O weakness of the LUE and LLE with difficulty in lifting the LUE.
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 and Fast Scan (T2 *) coronal images.
There are hyperintense areas on the proton, T2 Weighted and FLAIR images along the right fronto-temporo-parietal grey matter and which are hypointense to white matter on the T1 Weighted images. A few areas within these are near isointense to CSF and would represent cystic changes. Prominent CSF space is seen in the right fronto-temporo-parietal region laterally. There is resultant dilatation of the body of the right lateral ventricle and this lesion would represent areas of encephalomalacia.
There is fullness of the right lateral and third ventricles. The fourth 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.
Areas of encephalomalacia along the right fronto-temporo-parietal grey matter which may be the result of previous contusions, the result of trauma.