Hepatic Encephalopathy (MR).

PROTOCOL:

T1W – Sagittal & axial scans
T2W – Axial & coronal scans
FLAIR – Axial scans 

FINDINGS& IMPRESSION:

-Revealed:
• Bilateral basal ganglia hyper intensities T1& T2& Flair sequences (due to hepatic encephalopathy) with abnormal enhancement.
• Bilateral gyriform hyper intensity areas (cortical laminar necrosis) with definite abnormal enhancement after contrast injection.
• Bilateral hyper intense deep white matter signal foci in the vertex of the brain (due to ischemic changes). 
• Smooth halo of peri ventricular hyper intensity ischemic changes.
• Diffuse increased intensity of the white matter of mid brain in between red nucleus and cerebellar peduncle bilaterally.
• Right maxillary and left posterior ethmoid sinusitis.

-Corpus callosum shows normal MR morphology.
-Brain stem and cerebellum show normal signal intensities.  
-Fourth ventricle is normal in size and is midline in position.


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Reported By : DR.MOHAMMED MOHYELDIN
 Consultant-Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin