We report a case of an adolescent girl who had changes suggestive of encephalomalacia in the magnetic resonance imaging (MRI) of the brain but presented with psychiatric symptomatology instead of neurological manifestations. Encephalomalacia is softening of brain tissue which may lead to brain changes and present with varied clinical manifestations. Most of the cases reported previously were on infants & children and almost all of them were related to neurological disorders. But cases with psychiatric symptomatology were rarely reported, that too in adolescents. The authors discussed the psychiatric symptom profile, their management and emphasized the importance of imaging of the brain and its association with psychiatric manifestations.

Keywords: Encephalomalacia; Psychiatric Morbidity; Brain Imaging.