ke/sb/nl/nl
/66 Date : 22/00.00.00

Name of the Patient : Abc Xyzam Dlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain in the right eye with minimal ptosis and decreased sensation on the right side since 00.00.00.
Known hypertensive/diabetic.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

4 mm thick Fast Scan (T2 *) axial images.

OBSERVATION :

There is a hypointense area on the T1 Weighted images in the right middle cerebellar peduncle. There is slight inferior extension to the ponto-medullary junction on the right side posteriorly. This is seen to turn heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. There is no perilesional edema.

Ill-defined, hyperintense areas are seen on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter and bilateral centrum semiovale. These are iso to hypointense to normal white matter on the T1 Weighted images.

There is mild to moderate dilatation of both the lateral and third ventricles with fullness of the fourth ventricle. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
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The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.

IMPRESSION :

1. A lesion in the right middle cerebellar peduncle with slight inferior extension to the ponto-medullary junction on the right side posteriorly, most likely represents an ischemic lesion.

2. Altered signal in the periventricular deep white matter and bilateral centrum semiovale are suggestive of areas of ischemia/infarction.