ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Sonalmn / M / 39 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever since 1.5.99.
C/O deviation of face towards right with difficulty in closing the left eye since 15 days and dysphagia since 5 days.
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.
5 mm thick T1 Weighted sagittal images.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The seventh and eighth cranial nerve complex are unremarkable on either side.
There is prominence of the cerebellar folia bilaterally.
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 :
Mild cerebellar atrophy.
No other significant abnormality is detected on this study.