devansh.txt

## Brain MRI Report
 
MR imaging of the brain was performed on a 1.5 T MR scanner using head coil.  T1 FLAIR, FSE T2, GRE T2*-- Axial, FSE T2-- sagittal and T2 FLAIR coronal images were acquired.  The study was supplemented with diffusion weighted images using EPI sequence.  Post contrast SE T1 weighted images were also obtained in coronal, sagittal and axial planes.

The study reveals multiple discrete foci of T2 / FLAIR hyperintensity in left frontal, left parietal, periventricular and centrum semiovale region and bilateral posterior parietal periventricular white matter region and pericallosal interface.

Post contrast images reveals subtle enhancing lesions in the left periventricular white matter region, left pericallosal region, left frontal and posterior periventricular white matter region.

Rest of the cerebral parenchyma shows normal signal characteristics.  Myelination pattern of the brain is normal. No evidence of restricted diffusion noted.

The basal ganglia, thalami and internal capsules appear normal.

The mid-brain, pons and medulla appear normal. The cerebellum appears normal. 

 
The ventricular system appears normal. The septum is in mid line. The sulci, fissures & basal cisterns appear normal.

The pituitary gland, optic chiasm and bilateral parasellar regions appear normal.

The corpus callosum appears normal.

Intracranial vascular structures in view are normal.

Bilateral seventh-eighth cranial nerve complexes and inner ear structures are normal. Both CP angle cisterns are normal.

Both ocular globe, extraocular muscles and optic nerve sheath complexes are normal.


## IMPRESSION: MR FINDINGS REVEAL:-

1. MULTIPLE DISCRETE LESIONS IN LEFT FRONTAL, LEFT PARIETAL, PERIVENTRICULAR AND CENTRUM SEMIOVALE REGION AND BILATERAL POSTERIOR PARIETAL PERIVENTRICULAR WHITE MATTER REGIONS AND PERICALLOSAL INTERFACE,

2. SUBTLE ENHANCING LESIONS IN THE LEFT PERIVENTRICULAR WHITE MATTER REGION, LEFT PERICALLOSAL REGION, LEFT FRONTAL AND POSTERIOR PERIVENTRICULAR WHITE MATTER REGION

3. LIKELY DEMYLINATING LESIONS WITH MULTIPLE SCLEROSIS WITH EVIDENCE OF ACUTE ENHANCING LESIONS.

 

Please correlate clinically.