Sunday, April 19, 2015

Hypoxic ischemic encephalopathy (MR).





PROTOCOL:

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

FINDINGS:

-Revealed:
·        Multiple gyral hyper intensity signals in both parieto-occipital regions bilaterally.
·        Bilateral basal ganglia hyper intensities including caudate and lentiform nuclei.
·        Increased hyper intensity of posterior limb of internal capsule.
·        Pan sinusitis.
·        Bilateral mastoiditis.

-Lateral and third ventricles are normal in size and position. Septum is in midline.  There is no midline shift.
-Basal cisterns, cortical sulci and gyri are normal in appearance.
-Sella is normal in appearance.
-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.


OPINION:

 ·        In light of these MR signs; picture is suggestive of hypoxic ischemic encephalopathy for clinical correlation.
·        Pan sinusitis.
·        Bilateral mastoiditis.


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

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