ke/sb
/62 Date : 00.00.00

Name of the Patient : Abc XyzD. Ilmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis with difficulty in speech since 3 years.
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.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in bilateral corona radiata and centrum semiovale as well as the frontal and parietal deep white matter and right cerebellar hemisphere. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Lacunar infarcts which are hyperintense to CSF on all the pulse sequences are seen in the pons to the right of the midline, bilateral lentiform nuclei, left thalamus, bilateral corona radiata and centrum semiovale, the head and body of the caudate nucleus on the right side and in the left cerebellar hemisphere.

There is mild fullness of both the lateral ventricles. There is prominence of the cerebral cortical sulcal spaces in the parietal regions and cerebellar folia bilaterally.

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

Incidental note is made of mild inflammatory changes in the right mastoid air cells and pansinusitis.
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IMPRESSION :

1. Altered signal in bilateral corona radiata and centrum semiovale as well as the frontal and parietal deep white matter and in the right cerebellar hemisphere are suggestive of areas of ischemia/infarction.

2. Lacunar infarcts in the pons to the right of the midline, bilateral lentiform nuclei, left thalamus, bilateral corona radiata and centrum semiovale, the head and body of the caudate nucleus on the right side and in the left cerebellar hemisphere.