sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzS. Shlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gradually progressive gait imbalance with difficulty in speech since 6 months.

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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

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

Inflammatory changes are noted in the left maxillary antrum and left ethmoidal air cells.


IMPRESSION :

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

2. Mild cerebral cortical and cerebellar atrophy.