ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzr Klmn / M / 53 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O altered sensorium since 9-11 days.
C/O left sided hemiplegia since 2 years.
Known hypertensive/diabetic.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

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

Lacunar infarcts (isointense to hyperintense to CSF on all the pulse sequences) are noted in the lentiform nuclei bilaterally, right thalamus and in the bilateral corona radiata, posteriorly.

There is mild to moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is blunting of the cerebral peduncles bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.







Incidentally noted is a mega cisterna magna.

Inflammatory changes are noted in the right frontal sinus, left maxillary antrum, sphenoid sinus and the ethmoidal air cells bilaterally.

IMPRESSION :

1. Altered signal in the periventricular white matter bilaterally and in the pons most likely represent ischemic changes.

2. Lacunar infarcts in the lentiform nuclei bilaterally, right thalamus and in the bilateral corona radiata, posteriorly

3. Mild cerebral and cerebellar atrophy with mild to moderate ventricular dilatation.

As compared to the previous MRI (study no:00003) dated 00.00.00, there is no significant change.