ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzabholmn / M / 50 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O giddiness with fall and loss of consciousness with right sided hemiplegia 2 years back. Weakness on the right side still persists.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick Fast Scan (T2 *) coronal images.

OBSERVATION :

There is a hypointense area in the left putamen extending into the left corona radiata on the T1 Weighted images which is seen to turn hyperintense on the proton and T2 Weighted images and would represent an old infarct. Resultant focal dilatation of the left lateral ventricle is noted. Similar area is seen in the genu of the internal capsule on the left side.

Lacunar infarcts are noted in the right lentiform nucleus.

Ill-defined, hyperintense areas are seen in the periventricular white matter on the proton, T2 Weighted images and FLAIR images and may represent ischemic changes.

There is mild dilatation of both the lateral and third ventricles with fullness of the fourth ventricle. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are also prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.



Incidental note is made of maxillary sinusitis and inflammatory changes in the ethmoidal air cells.

IMPRESSION :

1. Old infarcts in the left putamen extending into the left corona radiata and in the genu of the internal capsule on the left side.

2. Lacunar infarcts in the right lentiform nucleus.

3. Areas of ischemia in the periventricular white matter.