ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzankar D.lmn / M / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O decreased sleep since 5-6 months.
C/O ? orofacial dyskinesia.

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 is prominence of the sulcal spaces in the left posterior parietal region which could be due to past ischemic insult.

Small hyperintense areas are seen in the white matter in the
left frontal region on the proton, T2 Weighted and FLAIR images which are isointense to normal white matter on the T1 Weighted images and would represent ischemic changes.

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.

IMPRESSION :

1. Prominence of the sulcal spaces in the left posterior parietal region could be due to past ischemic insult.

2. Altered signal in the white matter in the left frontal region would represent ischemic changes.