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Question

brain mri

focal high T2 signal intensity in the deep and right side of right thalamus and midbrain in seen showing no diffusion abnormality (R/O demyelinating process,encephalitis,vasculitis,rather than ischemic or tumoral process)

otherwise the 4th ventricle is midline.there is no evidence of midline shift no mass effect.the size of ventricular system and sulcal pattern is within the range of normal for patient's stated age

Thre is no evidence of acute intraparanchymal hemorrhage no significant extra-axial collection are noted flow voids are maintained whitin the intranal carotid arteries bilaterally as well as within the vertebrobasilar system

no abnormalities are seen in basal ganglia,corpus callosum or thalamus.the pituitary gland are cerebellum show no abnormal signal intensity.the sella and pituitary gland are grossly normal. the CPA areas appears normal.the visualized paranasal sinuses and mastoid air cells are well developed and the orbital contents are unremarkable./r