hs/ke
Name of the Patient : Abc Xyzr S. Jalmn / M / 40 yrs.
Referred by : Dr. Abc Xyzgla.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left facial twitching, below the eye.

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.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

There is evidence of a focal hyperintensity on the T2 Weighted, proton and FLAIR images (hypointense on the T1 Weighted images) within the left middle cerebellar peduncle.

The seventh and eighth cranial nerve complex on either side are unremarkable.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of bilateral maxillary sinusitis.

IMPRESSION :

The MRI features are suggestive of a focal signal alteration within the left middle cerebellar peduncle and this may represent demyelination/ischemia.