ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzbee lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with LOC and altered sensorium (momentary) since 8 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an elliptical hypointense area in the white matter in the right frontal lobe on the FLAIR and T1 Weighted images. This is seen to turn hyperintense on the proton and T2 Weighted images (nearly isointense to CSF on all the pulse sequences). Hyperintense areas are noted at the periphery of this lesion, better appreciated on the FLAIR coronal images which are iso to hypointense to white matter on the T1 Weighted images and would represent areas of gliosis. This lesion would represent a lacunar infarct with gliotic changes.

Prominent perivascular spaces are noted in the lentiform nuclei bilaterally.

The left lateral ventricle is slightly prominent as compared to the right (may be a normal variant).


The third and the fourth ventricles are normal. There is slight prominence of the cerebellar folia. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Lacunar infarct in the white matter in the right frontal lobe.

2. Mild cerebellar atrophy.