ke/sb/rg.
/82 Date : 00.00.00

Name of the Patient : Abc Xyzhai Jlmn / M / 68 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and difficulty in speaking since 2-3 days.

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.

5 mm thick T1 Weighted sagittal images.

IMAGES SHOW PATIENT MOTION. PATIENT WAS UN-COOPERATIVE INSPITE OF SEDATION.

OBSERVATION :

There is an ill-defined hyperintense area in the left frontal region on the proton, T2 Weighted and FLAIR images. This is isointense to hypointense to the normal white mater on the T1 Weighted images suggestive of an area of ischemia/infarction.

Ill-defined areas which are seen to follow CSF signal characteristics on all the pulse sequences in the cerebellar hemispheres bilaterally and represent old infarcts.

There is mild fullness of both the lateral ventricles.

There is slight prominence of the cerebral cortical sulci bilaterally.

The third and the fourth ventricles are 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. Areas of ischemia/infarction in the left frontal region.

2. Old infarcts in the cerebellar hemispheres bilaterally.