sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzi Rlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzdhia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O left hemiparesis on 00.00.00 which has recovered partially.
Now C/O mild weakness of the LUE since then.
Known DM/HT (recently diagnosed).

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 is a small bright focus on the proton, T2 Weighted and FLAIR images in the right thalamus laterally. This lesion appears iso to hypointense to normal gray matter on the T1 Weighted images and most likely represents an ischemic focus (scans 102.11, 102.12, 104.11, 104.12, 105.10, 105.9).

Smaller ischemic foci are also noted in the left frontal region and right frontal region (scans 105.11, 105.16).

A lacunar infarct is also noted in the right thalamus.

Prominent perivascular spaces are noted in the centrum semiovale bilaterally.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. 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 sphenoid sinus on the left and in the maxillary sinuses and ethmoidal air cells bilaterally.

IMPRESSION :

1. Altered signal in the right thalamus laterally most likely represents an ischemic focus.
2. A lacunar infarct in the right thalamus.