sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzsen Mahilmn / M / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with early extrapyramidal signs.
Known hypertensive.

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 is a small bright focus on the proton, T2 Weighted and FLAIR images in the pons, centrally. This lesion is isointense to normal brain parenchyma on the T1 Weighted images and most likely represents an ischemic focus.

Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The normal lens is not visualized in the right eye (h/o cataract surgery).

Inflammatory changes are noted in the left mastoid air cells.

IMPRESSION :

1. Altered signal in the pons, centrally most likely represents an ischemic focus.

2. Mild age related cerebral cortical atrophy.