hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. lmn / F / 58 yrs.
Referred by : Dr. Abc XyzVani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 1 month.
Known hypertensive. On Rx.
H/O left facial palsy 2 years back which has recovered.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
An MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is fullness of both the lateral and the third ventricles.
The fourth ventricle is normal.
There is slight prominence of the cerebral cortical sulcal spaces and cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left mastoid air cells, ethmoidal air cells and both maxillary sinuses.
- 2 - scan-00007
IMPRESSION :
The MRI features are suggestive of :
1. Mild cerebral and cerebellar atrophy which may be age related.
2. Inflammatory changes in the left mastoid air cells, ethmoidal air cells and both maxillary sinuses.