sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzchandra lmn / M / 60 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the RUE and RLE with slurred speech since 00.00.00.
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.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, in the periventricular white matter bilaterally, subcortical white matter in the frontal and parietal regions bilaterally and in the region of the genu of the corpus callosum. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic lesions.

Lacunar infarcts are noted in the right lentiform nucleus.

Dilated perivascular spaces are seen in the centrum semiovale bilaterally.

There is mild fullness of both the lateral and 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.

Incidentally noted is an empty sella.


IMPRESSION :

1. Altered signal in the pons, in the periventricular white matter bilaterally, subcortical white matter in the frontal and parietal regions bilaterally and in the region of the genu of the corpus callosum most likely represent ischemic changes.

2. Lacunar infarcts in the right lentiform nucleus.