sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzhakur / Dr. Abc Xyzhatib.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance since 10 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 coronal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region and in the frontal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes. Similar signal intensity lesion is noted in the right thalamus.

Prominent perivascular spaces are noted in the lentiform nuclei bilaterally.

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

Inflammatory changes are noted in the paranasal sinuses bilaterally.
R>
IMPRESSION :

Altered signal in the periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region and in the frontal regions bilaterally and in the right thalamus most likely represent ischemic changes.