What does this Brain MRI report mean
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What does this Brain MRI report mean

[From: ] [author: ] [Date: 12-07-05] [Hit: ]
??Protocol: T1 weighted sagittal, axial and coronal images as well as FLAIR, gradient echo and turbo T2 weighted axial images were obtained.There are no comparison studies.......
My son is seven, has fine motor and speech delays, possible ADHD, Autism, and has precocious puberty with a bone age of 11 1/2 and he's 4'10 1/2" and 120 lbs. Here is his report can someone please explain????

Protocol: T1 weighted sagittal, axial and coronal images as well as
FLAIR, gradient echo and turbo T2 weighted axial images were
obtained. There are no comparison studies. Study interpreted at
University hospitals case Medical Center.

Findings: There is no evidence of abnormal diffusion restriction .
The lateral ventricles are minimally generous in size but there is no
evidence of hydrocephalus. Rather, this may reflect a very subtle
paucity of supratentorial white matter. The corpus callosum is
unremarkable in appearance, however, without evidence of thinning.
The myelination pattern is complete. No parenchymal signal
abnormalities are appreciated. There is no evidence of intracranial
mass, hemorrhage or edema. No definite structural abnormalities are
visualized. The pituitary axis is grossly intact. Visualized
paranasal sinuses and mastoid air cells are clear.


Impression: Mild lateral ventriculomegaly, probably reflecting slight
paucity of supratentorial white matter of uncertain etiology.
Otherwise unremarkable exam.

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Let me preface this by saying that I am not an expert and you should always contact your doctor if you have additional questions. My knowledge comes from what I have learned in my time as a student of neuroscience as well as the text I have used as reference. In order to explain some of this as clearly as possible, I'm going to "interpret" each section separately:

I. Protocol:
- Basically this indicates the imaging method selected for the MRI. In this case it was Diffusion-Weighted Imaging (DWI), which is an MRI that non-invasively maps out the movement of fluid within tissue. Because of your son's age and symptoms, they were looking for signs of hydroencephaly or structural abnormalities. They want to rule these out first so that they can move on to evaluation of autism-spectrum disorders and other possible problems which can not be diagnosed by lab tests.
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