Date : 00.00.00

Name of the Patient : Abc Xyzta Prlmn / F / 83 yrs.
Referred by : Dr. Abc Xyz Shah
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O breathlessness with seizures.
Known hypertensive.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, pons, right lentiform nucleus, bilateral thalami and in the corona radiata and centrum semiovale bilaterally. These lesions appear hypointense to normal white matter on the T1 weighted images.

Lacunar infarcts are noted in the pons and left corona radiata.

There is mild dilatation of both the lateral and the 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. There is ectasia of the left vertebral artery with indentation upon the left lateral aspect of the medulla.




There is no evidence of haemorrhage on this study.

IMPRESSION :

1. Altered signal in the periventricular white matter bilaterally, pons, right lentiform nucleus, bilateral thalami and in the corona radiata and centrum semiovale bilaterally most likely represent ischemic changes.

2. Lacunar infarcts in the pons and in the left corona radiata.

3. Age related cerebral and cerebellar atrophy.