ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Sonalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered behaviour with irrelevant talk since 00.00.00.
Known hypertensive. On Rx.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images within the pons, right cerebellar hemisphere, bilateral thalami, putamen, corona radiata, centrum semiovale and the periventricular deep white matter. These are isointense to hypointense to the normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

A small, ill-defined area is seen in the left frontal and fronto-temporal cortex which is hypointense on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images and would represent gliotic changes. There is slight involvement of the anterior portion of the insular cortex.

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



IMPRESSION :

1. Altered signal within the pons, right cerebellar hemisphere, bilateral thalami, putamen, corona radiata, centrum semiovale and the periventricular deep white matter are suggestive of areas of ischemia/infarction.

2. A small area of altered signal intensity in the left frontal region with slight involvement of the anterior portion of the insular cortex would represent gliotic changes, most likely the sequelae of a previous vascular insult.