ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyznnisha lmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O difficulty in walking since 10 years.
C/O incoordination of hand since 3 years.
C/O dysarthria since 4 years.

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.

OBSERVATION :

There is prominence of the cerebellar folia bilaterally with resultant dilatation of the fourth ventricle. The middle cerebellar peduncles, pons and the cerebral peduncles also appear slightly atrophic. The olivary bulges are identified.

There is no focal area of altered signal intensity in the brain parenchyma.

There is mild fullness of both the lateral and third ventricles.
There is prominence of the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of ponto-cerebellar atrophy and mild dilatation of the ventricular system.