sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzra lmn / M / 49 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O generalized weakness with speech disturbances.
Known hypertensive. On Rx.

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 :

Lacunar infarcts are noted in the paraatrial regions, thalami and lentiform nuclei bilaterally, head of left caudate nucleus, in the frontal and parietal deep white matter bilaterally, splenium of the corpus callosum on the left and in the genu and body of the corpus callosum on the right. Hyperintense signal around the lacunar infarcts on the proton, T2 Weighted and FLAIR images in the periatrial regions bilaterally and in the head of the left caudate nucleus and in the genu of the corpus callosum on the right may represent gliotic changes.

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

Inflammatory changes are noted in the left maxillary antrum.

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IMPRESSION :

1. Lacunar infarcts in the paraatrial regions, thalami and lentiform nuclei bilaterally, head of left caudate nucleus, in the frontal and parietal deep white matter bilaterally, splenium of the corpus callosum on the left and in the genu and body of the corpus callosum on the right with gliotic changes around some of these lesions as described.

2. Mild cerebral and cerebellar atrophy.