SB/BV/RG.
Date : 00.00.00

Name of the Patient : Abc Xyzth Glmn / M / 61 yrs.
Referred by : Dr. Abc Xyzenoy / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O diminished vision of both eyes since childhood (retinitis pigmentosa with optic atrophy). Also C/O headaches, giddiness and tinnitus since many year.

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 STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are small bright foci on the T2 Weighted and STIR images in the left frontal subcortical and deep white matter, which may represent ischemic changes.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. A mega cisterna magna is noted. The rest of the basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The optic nerves on either side show normal signal characteristics. However they are slightly smaller in calibre than normal.
..2/.









- 2 - Scan-00002


IMPRESSION :

1. Altered signal in the left frontal subcortical and deep white matter may represent ischemic foci.

2. Mild optic atrophy bilaterally.

As compared to the previous MRI dated 00.00.00 (scan no.0000), there is no significant change noted.