Date : 00.00.00

Name of the Patient : Abc Xyzray Tatlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O paresthesias in BUE on 00.00.00 from which patient has recovered.
Now C/O slight weakness in BLE.

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 are multiple, lacunar infarcts in the right periatrial region, thalami, lentiform nuclei, corona radiata and centrum semiovale bilaterally. Hyperintense signal on the T2 Weighted and FLAIR images around the lacunar infarcts would represent gliotic changes.

Hyperintense signal on the T2 Weighted and FLAIR images is also noted in the right posterior parietal subcortical white matter, corona radiata and in the posterior parietal periventricular white matter bilaterally which also represents ischemic changes.

There is mild dilatation of both the lateral and third ventricles.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is a hypoplastic inferior cerebellar vermis.

A polyp is noted in the left maxillary antrum.
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IMPRESSION :

1 Lacunar infarcts in the right periatrial region, thalami, lentiform nuclei, corona radiata and centrum semiovale bilaterally with perilesional gliotic changes.

2. Altered signal in the right posterior parietal subcortical white matter, corona
radiata and in the posterior parietal periventricular white matter bilaterally represents ischemic changes.