sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSequlmn / F / 76 yrs.
Referred by : Dr. Abc Xyzabhat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left ear tinnitus with twitching of the left eye and vertigo since 15 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.
3 mm thick T1 Weighted coronal images.
An MR Cisernogram was obtained in the coronal plane.
Limited, 3D TOF MRA sequence was obtained through the region of interest.

OBSERVATION :

There are small bright foci on the proton and T2 Weighted images in the white matter in the right frontal region and in the pons. These lesions appear isointense to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes. Prominent perivascular spaces are noted within the brain parenchyma on either side.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures.

A vascular loop is seen at the root exit zone of the left seventh and eighth cranial nerve complex without indenting the same.

Inflammatory changes are noted in the maxillary sinuses bilaterally.

Incidentally noted is hyperostosis frontalis interna.
..2/.






IMPRESSION :

1. Altered signal in the white matter in the right frontal region and in the pons most likely represent ischemic changes.

2. A vascular loop at the root exit zone of the left seventh and eighth cranial nerve complex without indenting the same.