hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzkant Belmn / M / 43 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness since 8-10 days.
C/O left UMN facial palsy with left sided hemiplegia since 4 days.
Known hypertensive.

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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are small areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the pons, left middle cerebellar peduncle and both cerebral peduncles. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

Prominent perivascular spaces are noted within the brainstem and both cerebral hemispheres. Also seen is mild prominence of the cerebral cortical sulci bilaterally.

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.
Scan-00006


Inflammatory changes are seen within the right maxillary sinus, ethmoidal air cells and frontal sinus.

IMPRESSION :

Areas of altered signal within the pons, left middle cerebellar peduncle and both cerebral peduncles are most likely ischemic in etiology.