sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzsha Narvalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance since 6-7 years.

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 subcortical white matter in the right posterior parietal region. These lesions appear isointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes (scans 102.14, 103.14, 105.5-7).

There is prominence of the cerebellar folia bilaterally with mild fullness of the fourth ventricle.

Both the lateral and third ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the paranasal sinuses bilaterally.

IMPRESSION :

1. Altered signal in subcortical white matter in the right posterior parietal region may represents ischemic changes.

2. Cerebellar atrophy.