Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc XyzSlmn / F / 60 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis with slurred speech since 1 day.
C/O convulsions at 3.0 pm. on 00.00.00 with altered sensorium.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted and proton density axial images.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton density and FLAIR images in the periventricular white matter bilaterally and bilateral corona radiata and centrum semiovale. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.

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

There is no evidence of haemorrhage.

IMPRESSION :

Altered signal in the periventricular white matter bilaterally and bilateral corona radiata and centrum semiovale most likely represent ischemic changes.

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