hs/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Panclmn / F / 55 yrs.
Referred by : Dr. Abc Xyza Mistry.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O memory impairment since 5-6 years.
Known diabetic/hypertensive. On Rx.

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.
FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are few areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are isointense to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

There is fullness of the third and both the lateral ventricles. Prominence of the cerebral cortical sulci is noted. The fourth 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.

IMPRESSION :

1. Altered signal within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are
most likely ischemic in etiology.

2. Fullness of the third and both the lateral ventricles which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be excluded.