ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzD. Lovallmn / M / 94 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 1 day.

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 in the periventricular deep white matter on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Similar smaller areas are seen in the pons and the left cerebral peduncle.

There is mild to moderate dilatation of both the lateral and third ventricles with resultant thinning of the corpus callosum. There is prominence of the cerebral cortical sulci.

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 :

Altered signal in the periventricular deep white matter, in the pons and left cerebral peduncle are suggestive of areas of ischemia/infarction.