ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzpa Thilmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with giddiness, gait imbalance and involuntary movements of the head since 2 months.
Known hypertensive and 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.
MR Cisternogram was obtained in the coronal plane.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is no area of abnormal signal intensity within the brain parenchyma.

The seventh and eighth cranial nerve complex on either is unremarkable.

There is mild fullness of both the lateral and the fourth ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The third ventricle is 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 inflammatory changes in the maxillary sinus, frontal sinus and ethmoidal air cells.

IMPRESSION :

Mild cerebral and cerebellar atrophy.