ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Trilmn / F / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait ataxia since 3 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 coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periatrial white matter. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
The visualized left internal carotid artery is slightly smaller as compared to the opposite side.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. Slight prominence of the cerebral cortical sulci and cerebellar folia is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of an empty sella.
IMPRESSION :
1. Altered signal in the periatrial white matter may be ischemic in etiology.
2. Mild cerebral and cerebellar atrophy.