ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / F / 78 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait ataxia, behavioral disturbances, memory impairment and bladder dysfunction.
Known hypertensive/diabetic.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick T2 Weighted coronal images.
IMAGES SHOW PATIENT MOTION (PATIENT DOES NOT UNDERSTAND).
OBSERVATION :
Small punctate hypointense areas are seen in the right thalamus and in the right corona radiata on the T1 Weighted images which turn hyperintense on the T2 Weighted images and would represent lacunar infarcts.
Hyperintense areas are seen on the T2 Weighted images in the left thalamus and right corona radiata which appear isointense on the T1 Weighted images and represent ischemic changes.
There is fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is mild prominence of the cerebral cortical sulci. The basal cisternal spaces are prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Lacunar infarcts in the right thalamus and right corona radiata.
2. Ischemic changes in the left thalamus and right corona radiata.