ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 65 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered behaviour since 1 month.
Chronic alcoholic.

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 FLAIR coronal images.

OBSERVATION :

There is an ill-defined, hypointense area in the right temporo-occipital lobes along the gyri and the adjacent white matter on the T1 Weighted images. This is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images.

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular and fronto-parietal white matter bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etilogy. Similar but smaller areas are seen in bilateral thalami and in the pons on the right side.

Lacunar infarcts (iso to hyperintense to CSF on all the pulse sequences) are seen in the left thalamus and right lentiform nucleus.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
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IMPRESSION :

The MRI features are suggestive of :

1. An old infarct in the right temporo-occipital lobes.

2. Altered signal in the periventricular and fronto-parietal white matter bilaterally, bilateral thalami and in the pons on the right side are most likely ischemic in etiology.

3. Lacunar infarcts in the left thalamus and right lenfiform nucleus.