ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Glmn / M / 71 yrs.
Referred by : Dr. Abc Xyzakantan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of tremors of right hand since 4-5 days.
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 Gradient coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hyperintense focus on the proton, T2 Weighted and FLAIR images in the left centrum semiovale (se/im 107/10). This is iso to hypointense to white matter on the T1 Weighted images and would represent an ischemic focus.

Prominent perivascular spaces are noted in the posterior parietal, periventricular white matter bilaterally.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of an empty sella and right maxillary sinusitis.

IMPRESSION :

Altered signal in the left centrum semiovale would represent an ischemic focus.