Name of the Patient : Abc Xyz Kalmn / M / 56 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O involuntary movements of 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 coronal images.
5 mm thick T1 Weighted sagittal images.
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen within the left temporal lobe. These would most likely represent areas of gliosis/encephalomalacia. Few of these areas appear cystic.
Small areas of hyperintensity on the proton, T2 Weighted and FLAIR images are noted within the periventricular white matter bilaterally and the deep white matter in the frontal lobes bilaterally and right parietal lobe and these are most likely ischemic in etiology.
There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild dilatation of the third and both the lateral ventricles. There is fullness of the fourth ventricle and mild prominence of the basal cisternal spaces.
There is slight thinning of the corpus callosum.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The MRI features are suggestive of :
1. Areas of gliosis/encephalomalacia within the left temporal lobe.
2. Areas of altered signal within the periventricular white matter bilaterally, the deep white matter in the frontal lobes bilaterally and right parietal lobe are most likely ischemic in etiology.
3. Mild cerebral and cerebellar atrophy with mild dilatation of the third and both the lateral ventricles which is disproportionate to the cerebral atrophy. Normal pressure hydrocephalus should be excluded clinically.