hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzarayan Slmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis with slurred speech since 12 days.

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 coronal images.

OBSERVATION :

There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the left corona radiata and left centrum semiovale. This most likely represents an area of ischemia/infarction.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the head of the left caudate nucleus, pons, both lentiform nuclei, corona radiata bilaterally, genu of the corpus callosum on the left side and in the deep white matter in the left frontal lobe. A few of these are surrounded by hyperintense areas on the proton, T2 Weighted and FLAIR images and these may represent gliotic changes.

Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the pons, periventricular white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and these are most likely ischemic in etiology.
Scan-00004




There is mild fullness of the third and both the lateral ventricles. Also seen is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

Incidental note is made of an empty sella.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of :

1. An area of altered signal within the left corona radiata and left centrum semiovale represents an area of ischemia/infarction.

2. Lacunar infarcts within the head of the left caudate nucleus, pons, both lentiform nuclei, corona radiata bilaterally, genu of the corpus callosum on the left side and in the deep white matter in the left frontal lobe.