Name of the Patient : Abc Xyzant Shlmn / M / 5 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the RUE and RLE.
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.
There is volume loss of the left cerebral hemisphere. There is seen a CSF signal intensity lesion on all the pulse sequences in the left temporo-parietal region, which represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Underlying white matter hyperintense signal on the proton, T2 Weighted and FLAIR images would represent gliotic changes. There is resultant ex-vacuo dilatation of the left lateral ventricle and mild pull of the midline structures to the left. The left cerebral peduncle appears atrophied, suggestive of Wallerian degeneration. Paramagnetic substance deposition/ calcification adjacent to the left foramen of Monroe.
There is thinning of the posterior body and splenium of corpus callosum.
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
Volume loss of the left cerebral hemisphere with an area of cystic encephalomalacia in the left temporo-parietal region most likely is the sequelae of a previous vascular insult.