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Name of the Patient : Abc Xyzet Devlmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O head injury with multiple contusions.
C/O occasional headaches.

EXAMINATION :

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.

OBSERVATION :

There are ill-defined, CSF intensity lesions on all the pulse sequences in the left inferior frontal region, bilateral temporal regions and to a much lesser extent in the right inferior frontal region. Perilesional white matter hyperintense signal on the T2 Weighted and FLAIR images may represent gliotic changes. These lesions in toto represent areas of cystic encephalomalacia, the sequelae of previous contusions.

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.

IMPRESSION :

Areas of cystic encephalomalacia in the left inferior frontal region, bilateral temporal regions and to a much lesser extent in the right inferior frontal region, most likely is the result of previous haemorrhagic contusions.

As compared to the previous CT Scan dated 00.00.0000, there is no significant change in the size of the ventricles.

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