sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzal V. Glmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O difficulty in swallowing solid and liquid since 10 months.
C/O repetitive mannerism and laughs continuously.

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 and T2 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the subcortical white matter in the frontal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight 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.






Inflammatory changes are noted in the sphenoid sinus.

Incidentally noted is occipitalization of the atlas with the atlanto-dens interval measuring approximately 3.0 mms.

IMPRESSION :

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

2. Mild cerebral cortical and cerebellar atrophy.

3. Occipitalization of the atlas with the atlanto-dens interval measuring approximately 3.0 mms.