hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzai Tlmn / M / 70 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left hemiparesis with slurred speech since 00.00.00.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the putamen and head of the caudate nucleus on the right side.

Hyperintense signal is seen on the FLAIR images in the left frontal (scan 105.9) and right high parietal region (scan 105.4). This may be due to past ischemic insult.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. Also seen is prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally.

Prominent perivascular spaces are noted within both the cerebral hemispheres.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of altered signal within the putamen and head of the caudate nucleus on the right side and these would represent areas of ischemia/infarction.