hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzal Upadlmn / M / 84 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O drowsiness since 1 1/2 months.
C/O generalized weakness with stiffness of body.
For follow-up.

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.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale. These lesions appear hypointense to normal white matter on the T1 Weighted images.

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

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale most likely represent ischemic changes.

2. Mild cerebral cortical and cerebellar atrophy with mild ventricular fullness.

As compared to the previous MRI (study no:00003) dated 00.00.00, there is no significant change noted.