Post cardiac arrest and brain changes (MR).

PROTOCOL:

T1W – Sagittal & axial scans

T2W – Axial & coronal scans

FLAIR – Axial scans

FINDINGS:

-Revealed:

·        A focal area of altered signal in the right side of pons with faint hyper intensity on T2 and Flair images (20 x 19 mm in diameters).

·        Another small lesion of altered signal in the right thalamus with 7.7 mm diameter.

·        The overall intensity of the white matter is decreased on T2 images and increased on T1 images giving impression of myelin abnormality (probably due to increased water content).

·        Bilateral frontal gyral hyper intensity giving impression of gyral ischemic changes.

·        Normal morphology of MR angiography.

OPINION:

·        Bilateral frontal gyral necrosis.

·        Right pontine and right thalamic infarction.

·        Diffuse ischemia resulting in myelin abnormality.

Reported By : DR.MOHAMMED MOHYELDIN

                                      Consultant-Radiologist