hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzGovlmn / M / 76 yrs.
Referred by : Dr. Abc Xyzichgar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis with slurred speech since 1 week.

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.

OBSERVATION :

There are irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter and white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the lentiform nuclei, corona radiata and posterior limbs of the internal capsules bilaterally.

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

There is an increased signal on the T1 Weighted images within the head of the left caudate nucleus. This may represent deposition of paramagnetic substances.

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

The MRI features are suggestive of :

1. Irregularly defined areas of altered signal intensity within the periventricular white matter and white matter in the fronto-parietal lobes bilaterally are most likely ischemic in etiology.

2. Lacunar infarcts in the lentiform nuclei, corona radiata and posterior limbs of the internal capsules bilaterally.

3. Altered signal within the head of the left caudate nucleus may represent deposition of paramagnetic substances.