ke/hs/nl/nl
/08 Date : 00.00.00

Name of the Patient : Abc Xyzu Jlmn / M / 67 yrs.
Referred by : Dr. Abc Xyzogle.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

Alleged H/O fall on 00.00.00 with heaviness of head since then.
Known 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.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

There are hypointense areas in the right cerebellar hemisphere, centre of the pons, bilateral thalami, corona radiata and centrum semiovale, right middle cerebellar peduncle and the periatrial white matter on the T1 Weighted images. These are hypointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the lentiform nuclei bilaterally.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal.
Scan-00006/08

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

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

Incidental note is made of bilateral maxillary sinusitis.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the right cerebellar hemisphere, centre of the pons, bilateral thalami, corona radiata and centrum semiovale, right middle cerebellar peduncle and the periatrial white matter are suggestive of areas of ischemia/infarction.

2. Lacunar infarcts in the lentiform nuclei bilaterally.

3. No significant abnormality is detected on the intracranial and neck MRA on this study.