sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzBlmn / F / 75 yrs.
Referred by : Dr. Abc Xyziwala / Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O seizures 25 years ago.
C/O sudden onset of loss of consciousness for 7-8 minutes on 00.00.00.

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 and T2 Weighted coronal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the pons, anteriorly and in the posterior parietal periventricular white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

The hippocampal complex on either side is unremarkable.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia 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. Altered signal in the pons, anteriorly and in the posterior parietal periventricular white matter bilaterally most likely represent ischemic changes.

2. Mild cerebral cortical and cerebellar atrophy.