hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 56 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiplegia since 0000.
C/O twitching in the left hand.
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 coronal images.

IMAGES SHOW PATIENT MOTION. PATIENT REFUSED SEDATION.

OBSERVATION :

There is a hypointense signal on the T2 Weighted images in the left external capsular region and which most likely represents residual hemosiderin the sequelae of previous hematoma and subsequent resolution.

There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton and T2 Weighted images in the region of the left lentiform nucleus and left fronto-temporo-parietal lobes. These most likely represent areas of encephalomalacia.








Ill-defined hyperintense signal on the T2 Weighted images in the left posterior parietal periventricular white matter, left thalamus and subthalamic regions extending into the left cerebral peduncle and pons on the left may represent gliotic changes (Wallerian degeneration or ischemic changes). There is blunting of the left cerebral peduncle.

There is mild to moderate dilatation of both the lateral (left more than right) and third ventricles. There is mild prominence of the cerebral cortical sulci bilaterally.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

IMPRESSION :

1. Residual hemosiderin in the left external capsular region, the sequelae of previous hematoma.

2. Areas of encephalomalacia in the region of the left lentiform nucleus and left fronto-temporo-parietal lobes.

3. Altered signal in the left posterior parietal periventricular white matter, left thalamus and subthalamic regions extending into the left cerebral peduncle and pons on the left may represent gliotic changes or Wallerian degeneration.

4. Mild to moderate dilatation of both the lateral and third ventricles.