sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Palmn / M / 56 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O loss of consciousness since 1 day. H/O headaches, giddiness and slurred speech prior to this.
Past H/O right hemiplegia 1 year back.
Known hypertensive & diabetic.

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.

OBSERVATION :

There is an ill-defined hypointense signal on the T1 Weighted images in the left cerebellar hemisphere, superiorly. This lesion follows CSF signal on all the pulse sequences and represents an area of cystic encephaloamalacia, most likely the sequelae of a previous vascular insult.

Prominent perivascular spaces/old ischemic lesions are noted in the left lentiform nucleus.

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

There is no evidence of haemorrhage on this study.

Inflammatory changes are noted in the sphenoid sinus.
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IMPRESSION :

1. An area of cystic encephaloamalacia in the left cerebellar hemisphere, superiorly most likely the sequelae of a sprevious vascular insult.

2. Prominent perivascular spaces/old ischemic lesions in the left lentiform nucleus.

3. Cerebral cortical and cerebellar atrophy.