hs/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzAlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness and vomiting since 1 1/2 months.
C/O forgetfulness and slowing in all activities since 1 year.
H/O right sided hemiparesis 10 years back.

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 areas which are iso to hyperintense to CSF on all the pulse sequences within the corona radiata and lentiform nuclei bilaterally, right thalamus and the posterior limb of the left internal capsule. Few of these have a hyperintense rim on the FLAIR images and these lesions would represent lacunar infarcts.

Small bright foci, best appreciated on the FLAIR images are seen within the fronto-parietal regions bilaterally and are most likely ischemic in etiology.

Irregularly defined areas with similar signal characteristics are noted within the periatrial white matter bilaterally.

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



Note is made of an empty sella.

Note is made of pthysis bulbi on the right side. The normal lens within the left globe is not visualized and this may be the result of previous cataract surgery.

IMPRESSION :

The MRI features are suggestive of lacunar infarcts within the corona radiata and lentiform nuclei bilaterally, right thalamus and the posterior limb of the left internal capsule.