sb/ke/nl/rg.
s Date : 00.00.00

Name of the Patient : Abc Xyzti K. Palmn / F / 75 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 2 episodes of giddiness with fall and LOC on 00.00.00.

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.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the fronto-parietal regions bilaterally and in the posterior parietal periventricular white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

The hippocampal complex is unremarkable on either side.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system appears ectatic.

IMPRESSION :

Altered signal in the subcortical white matter in the fronto-parietal regions bilaterally and in the posterior parietal periventricular white matter bilaterally most likely represent ischemic changes.