ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / F / 78 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O squint in the right eye since 15 days with diplopia (recovered).
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.

5 mm thick FLAIR coronal images.

3 mm thick T1 Weighted and STIR coronal images through the optic nerves.

OBSERVATION :

There are hyperintense areas in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images which are isointense to white matter on the T1 Weighted images and are suggestive of ischemic changes.

Hyperintense areas are seen in the lentiform nuclei bilaterally and the dentate nuclei on the T1 Weighted images which are isointense to grey matter on the proton and T2 Weighted images.

Lacunar infarcts/prominent perivascular space is seen in bilateral lentiform nuclei.

There is prominence of the cerebral cortical sulci bilaterally.

The optic nerves show normal signal intensity on the STIR images.

The cavernous sinuses are unremarkable on either side. ..2/.






The right superior opthalmic vein appears more prominent on the right side as compared to the left. However it shows normal flow void signal.

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 bilateral maxillary sinusitis and a superior convex surface of the pituitary.

IMPRESSION :

1. Altered signal intensity areas in the periatrial deep white matter are suggestive of ischemic changes.

2. Altered signal in the lentiform and dentate nuclei bilaterally can be seen with hepatocerebral syndrome.