hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPanlmn / M / 79 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left hemiplegia with slurred speech since 1 day.
H/O simiar complaints on 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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are fairly well-defined areas which are near isointense to CSF on all the pulse sequences within the right temporo-parietal lobes. Adjacent to this are areas which are hypointense on the T1 Weighted images and which turn hyperintense on the Proton, T2 Weighted and FLAIR images and would represent gliotic changes. This lesion in toto would represent an area of cystic encephalomalacia.

Diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter bilaterally. These are most likely ischemic in etiology. Smaller areas with similar signal characteristics are seen within the medulla, pons and fronto-parietal white matter bilaterally.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the pons on the left side, lentiform nuclei bilaterally and the left paraatrial white matter.
..2/.







Calcification/paramagnetic substance deposition is seen within the left lentiform nucleus.

There is mild dilatation of the ventricular system. There is prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of cystic encephalomalacia within the right temporo-parietal lobe as described.

2. Altered signal within the periventricular white matter and fronto-parietal white matter bilaterally and in the pons and medulla are most likely ischemic in etiology.

3. Lacunar infarcts in the pons on the left side, lentiform nuclei bilaterally and the left paraatrial white matter.

4. Mild dilatation of the ventricular system.