Date : 00.00.00

Name of the Patient : Abc Xyz A. Chlmn / M / 26 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance, tremors in BUE and dysarthria since 2 years.

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 T1 Weighted and FLAIR coronal images.

OBSERVATION :

There is evidence of atrophy of the putamen and the caudate nuclei bilaterally, with increase in the
signal intensity on the proton, T2 Weighted and FLAIR images. Resultant mild fullness of the lateral and third ventricles is noted.

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

Inflammatory changes are noted in the maxillary antra bilaterally.

IMPRESSION :

The MRI features suggest atrophy of the putamen and caudate nuclei bilaterally with prominent sulcal spaces and the basal cisternal spaces. These changes may be seen in Huntingtons disease and other extrapyramidal syndromes.