sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzlata Khanvilmn / F / 52 yrs.
Referred by : Dr. Abc Xyz. Mehta.
Examination : M.R.I. of the Brain and IAM.

CLINICAL PROFILE :

C/O giddiness since 1-2 months.
C/O tinnitus in both ears (right more than left) with decreased hearing.
Known hypertensive.

EXAMINATION :

M.R.I of the brain and IAM was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

A MR cisternogram was obtained in the coronal plane.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton and T2 Weighted images in the periventricular white matter, corona radiata and centrum semiovale bilaterally. This signal appears iso to hypointense to normal white matter on the T1 Weighted images.

The seventh and eighth cranial nerve complexes are unremarkable.

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

There is slight prominence of the cerebral cortical sulci in the temporal regions and left fronto-parietal region. The basal cisternal spaces are also prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study. Skull vault marrow inhomogenity and an empty sella is noted.




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IMPRESSION :

1. Altered signal in the periventricular white matter, corona radiata and centrum semiovale bilaterally most likely represent ischemic changes. In view of the H/O hypertension, Binswangers disease should be ruled out.

2. Mild cerebral cortical atrophy.

3. The seventh and eighth cranial nerve complexes are unremarkable on either side.