sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzD. Honlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O paresthesias in BLE with speech disturbances since 00.00.00.
Known diabetic. 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.

5 mm thick T1 Weighted sagittal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

Ill-defined, hyperintense signal on the proton and T2 Weighted images in the pons, centrally may represent ischemic lesions.

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Prominent perivascular spaces are noted in the cerebellar hemispheres bilaterally.

There is no evidence of intracranial haemorrhage on this study.
..2/.




INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the pons, centrally may represent ischemic lesions.

2. No significant abnormality is detected on the intracranial and neck MRA on this study.