Date : 00.00.00

Name of the Patient : Abc Xyzben lmn / F / 52 yrs.
Referred by : Dr. Abc Xyzh Parekh / Dr. Abc Xyzejpal.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left partial 3rd and 4th nerve palsy with clousre of the left eye since 5 days.
Known diabetic.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and STIR coronal images.
3 mm thick FLAIR axial and coronal images through the pons.

After administration of contrast, 5 mm thick T1 Weighted axial and coronal images (with magnetization transfer) and 5 mm thick T1 Weighted sagittal images were obtained.

OBSERVATION :

There is a small hyperintense focus within the centre of the pons on the FLAIR images. This is isointense to the normal white matter on the T1 Weighted images and would represent a small ischemic focus (scans 110.5, 107.10).

Dilated Virchow Robin spaces are noted in the centrum semiovale bilaterally.

The optic nerves are normal in their course and calibre and show normal signal intensity. The cavernous sinuses are unremarkable.

After administration of contrast there is no abnormal area of enhancement within the parenchyma or along the meninges.

Both the lateral, 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.

IMPRESSION :

The MRI features are suggestive of a small ischemic focus in the pons.