sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzed Ismail Anlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzwala.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 2 days.
Past H/O right sided hemiparesis 3 years back.

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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is seen a diffuse hyperintense signal on the proton, T2 Weighted and FLAIR images along the cortex in the right frontal and parietal regions. This lesion appears hypointense to normal grey matter on the T1 Weighted images. Resultant slight effacement of the sulcal spaces is noted in these regions.

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

Lacunar infarcts (iso to hyperintense to CSF) are noted in the right centrum semiovale and right frontal region along the watershed zone of the distribution of the right anterior and middle cerebral arteries. Lacunar infarcts are also noted in the genu of the corpus callosum and head of left caudate nucleus.





There is mild dilatation of the third and both the lateral ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

There is no obvious evidence of haemorrhage on this study.

Inflammatory changes are noted in the paranasal sinuses bilaterally.

IMPRESSION :

1. Altered signal along the cortex in the right frontal and parietal regions most likely represents a recent ischemic lesion.

2. Altered signal in the periventricular white matter bilaterally and in the bilateral centrum semiovale represents ischemic lesions.

3. Lacunar infarcts in the right centrum semiovale and right frontal region along the watershed zone of the distribution of the right anterior and middle cerebral arteries and in the genu of the corpus callosum and head of left caudate nucleus.

4. Mild cerebral cortical and cerebellar atrophy.