ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzm Sagvlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever, vomiting, gait imbalance and bladder/bowel involvement since 00.00.00.
H/O Pulmonary kochs. On AKT since December 0000.
Known diabetic/hypertensive.

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, Fast Scan (T2 *) and STIR coronal images.

OBSERVATION :

There are subtle hyperintense areas within the pons and small bright foci in the high parietal deep white matter on the proton T2 Weighted and FLAIR images. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

There is moderate dilatation of the ventricular system. There is prominence of the cerebral cortical sulcal spaces in the frontal and parietal regions more so in the posterior parietal region bilaterally.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Areas of altered signal within the pons and small bright foci in the high parietal deep white matter are suggestive of areas of ischemia/infarction.

2. Cerebral atrophy with dilatation of the ventricular system.