hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzen M. Jlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O involuntary movements of the right hand since 8 days and right foot since 3 dyas.
H/O DM & HT.
Has been operated for Potts spine (D5) in 0000.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Susceptibility artifacts are seen in the region of the mandible on the left side (dental prosthesis/fillings).

Irregularly defined areas of hypointensity are seen on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the thalamus bilaterally.

Note is made of an empty sella.

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 left maxillary sinus.

IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity within the thalamus bilaterally. These may represent infarcts (? venous ? arterial).

The possibility of this being a demyelinating process cannot be entirely ruled out though less likely.