sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 74 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered sensorium since 1 week with loss of appetite and weight since 1 month.
Known 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is a small hyperintense focus on the proton, T2 Weighted and FLAIR images in the right centrum semiovale. This lesion appears hypointense to normal white matter on the T1 Weighted images. A hypointense speck, more pronounced on the Fast Scan (T2 *) images is noted within this lesion (scans 103.14, 102.14, 104.14, 105.10).

Dilated perivascular spaces are seen in the centrum semiovale and the lentiform nucleii bilaterally.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is 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.






Incidentally noted is an empty sella and inflammatory changes in the maxillary sinuses bilaterally.

IMPRESSION :

1. Altered signal intensity area in the right centrum semiovale most likely represents an ischemic lesion. A hypointense speck on all the pulse sequences may represent calcification/vessel.

2. Age related cerebral and cerebellar atrophy.