ke/sb/rg/nl.
Date : 00.00.00

Name of the Patient : Abc Xyzillmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O abnormal behaviour with involuntary movements of the RUE and RLE with slurred speech since 5 months.

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.

OBSERVATION :

There are hypointense areas (isointense to CSF) on the T1 Weighted images, of varying size in the left cerebellar hemisphere, pons, right external capsule, bilateral lentiform nuclei, bilateral thalami and right periatrial region. These are seen to turn hyperintense on the proton and T2 Weighted images and represent lacunar infarcts. The lesion in the right external capsular region may be the sequelae of a previous bleed.

Hyperintense areas are seen on the proton, T2 Weighted and FLAIR images in the periventricular and frontal deep white matter. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of ischemia/infarction.

There is mild fullness of both the lateral ventricles.

The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.


IMPRESSION :

1. Lacunar infarcts in the left cerebellar hemisphere, pons, right external capsule, bilateral lentiform nuclei, bilateral thalami and in the right periatrial region. The lesion in the right external capsular region may be the sequelae of previous hematoma.

2. Altered signal in the periventricular and frontal deep white matter would represent areas of ischemia/infarction.