ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Vanlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O giddiness and loss of consciousness on 00.00.00 with giddiness, gait imbalance to left, diplopia and dysphagia since 00.00.00.
Known hypertensive, alcoholic and smoker.

EXAMINATION :

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

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

4 mm thick T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Small hyperintense areas are seen within the medulla posteriorly on the left side, posterior aspect of the pons, left middle cerebellar peduncle and the left cerebellar hemisphere on the proton and T2 Weighted images. These are hypointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction (scans 103.3, 103.4, 103.5, 102.3, 102.4, 102.5, 107.8, 107.9, 107.10).

The visualized vertebral and basilar arteries show normal flow void signal.

Both the lateral, third and the fourth ventricles are normal. There is prominence of the cerebellar folia bilaterally. 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 a prominent cisterna magna.
..2/.




- 2 - scan-00005


IMPRESSION :

1. Altered signal within the medulla posteriorly on the left side, posterior aspect of the pons, left middle cerebellar peduncle and the left cerebellar hemisphere are suggestive of areas of ischemia/infarction.

2. Mild cerebellar atrophy.