hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzai Almn / M / 80 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O ataxia and tremors of both hands.
Alleged H/O 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 coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are subtle hyperintense signal on the proton, T2 Weighted and FLAIR images within the putamen bilaterally and head of the left caudate nucleus. These are near isointense to gray matter on the T1 Weighted images and may be ischemic in etiology.

There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.

Incidental note is made of mild inflammatory changes in the left mastoid air cells.

IMPRESSION :

The MRI features are suggestive of areas of altered signal within the putamen bilaterally and head of the left caudate nucleus and these may be ischemic in etiology.