sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Mlmn / F / 79 yrs.
Referred by : Dr. Abc Xyzdia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O forgetfulness since 1 year.
C/O occasional giddiness.
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 are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the deep white matter in the left posterior parietal region subcortical white matter in the frontal and parietal regions bilaterally, right lentiform nucleus and in the centrum semiovale bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is 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.
IMPRESSION :
1. Altered signal in the deep white matter in the left posterior parietal region subcortical white matter in the frontal and parietal regions bilaterally, right lentiform nucleus and in the centrum semiovale bilaterally represent ischemic changes.
2. Mild cerebral and cerebellar atrophy.