sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Jhalmn / M / 72 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided diplopia since 3 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.
3 mm thick STIR coronal images through the optic nerves.

OBSERVATION :

There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and the subcortical and deep white matter in the fronto-temporal regions bilaterally. These areas appear iso to hypointense to normal white matter on the T1 Weighted images.

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and
the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The optic nerves are unremarkable on either side.









Inflammatory changes are noted in the paranasal sinuses.

Incidentally noted is an empty sella.

IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter bilaterally and the subcortical and deep white matter in the fronto-temporal regions bilaterally most likely represents ischemic changes.

2. Mild age related cerebral cortical and cerebellar atrophy.