sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzB. Gorilmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided weakness with speech disturbances since 4 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.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, anteriorly and to the left of the midline, right lentiform nucleus, left corona radiata and in the subcortical white matter in the posterior parietal regions bilaterally and left frontal region. These lesions appear isointense to normal white matter on the T1 Weighted images.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the left lentiform nucleus and in the left corona radiata.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

There is a hyperintense signal on all the pulse sequences within the transverse and sigmoid sinuses and proximal internal jugular vein on the left side may represent slow flow.






Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.

IMPRESSION :

1. Altered signal in the pons, anteriorly and to the left of the midline, right lentiform nucleus, left corona radiata and in the subcortical white matter in the posterior parietal regions bilaterally and left frontal region most likely represents ischemic changes.

2. Lacunar infarcts in the left lentiform nucleus and in the left corona radiata.