ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzr lmn / M / 63 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of forgetfullness with excessive sleep since 18-20 days.

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 hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periatrial white matter, left cerebral peduncle and the left frontal deep white matter. These are iso to hypointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Lacunar infarcts (which are isointense to hyperintense to CSF on all the pulse sequences) are seen in the lentiform nuclei bilaterally, head of the caudate nucleus and thalamus on the right side, left corona radiata and right centrum semiovale.

There is mild to moderate dilatation of both the lateral ventricles with fullness of the third and fourth ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.







Incidental note is made of inflammatory changes in the paranasal sinuses.

IMPRESSION :

1. Altered signal in the pons, periatrial white matter, left cerebral peduncle and the left frontal deep white matter are suggestive of areas of ischemia/infarction.

2. Lacunar infarcts in the lentiform nuclei bilaterally, head of the caudate nucleus and thalamus on the right side, left corona radiata and right centrum semiovale.

3. Mild to moderate dilatation of the lateral ventricles which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be excluded.