ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzntiben Kaplmn / F / 69 yrs.Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :Past H/O TBM. H/O seizure 1 week back with fall.
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 ill-defined, hyperintense areas on the proton and T2 Weighted images in the frontal deep white matter and in the posterior parietal periventricular white matter bilaterally. These areas are iso to hypointense on the T1 Weighted images. There is moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.A hyperintense signal on the T1 Weighted images in the right cerebellar hemisphere (se/im 104/5) is artifactual (pulsation artifact) and is not seen on the other sequences.
IMPRESSION :1. Altered signal in the frontal deep white matter and posterior parietal periventricular white matter bilaterally most likely represent ischemic changes. 2. Moderate dilatation of both the lateral and third ventricles.As compared to the previous MRI dated 00.00.00, (scan no:0000), there is slight increase in the size of the ventricles. However as compared to the CT Scan dated 00.00.00, the ventricular size is approximately the same. The ischemic lesions in the frontal region appear more prominent as compared to the previous MRI dated 00.00.00.