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Date : 00.00.00

Name of the Patient : Abc Xyz Rlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tremors, irrelevant talk, dysphagia and slowing of all movements since 1 month.

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 ill-defined, hyperintense areas on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images in the pons, midbrain, bilateral thalami and putamen. These are iso to hypointense to normal white matter on the T1 Weighted images.

There is mild fullness of both the lateral ventricles. The third and the fourth 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. The cerebellar folia are slightly prominent.

IMPRESSION :

The MRI features are suggestive of altered signal in the the pons, midbrain, bilateral thalami and putamen. These changes may be consistent with Wilsons disease.