hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzen lmn / F / 83 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O ? right sided CVA.
Known diabetic/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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the fronto-parietal lobes and periventricular white matter bilaterally, within the pons on the right side and within the anterior aspect of the right temporal lobe. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the head of the left caudate nucleus and the right corona radiata. These are seen to have a hyperintense rim on the proton and FLAIR images and which may represent gliotic changes.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. Also seen is mild prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally.

There is evidence of a lesion which is isointense to normal cortical bone on all the pulse sequences arising from the right frontal bone and this may reprsent an osteoma.
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There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The normal lens is not visualized within both the globes and this may be the result of previous surgery.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of altered signal intensity within the fronto-parietal lobes and periventricular white matter bilaterally, within the pons on the right side and within the anterior aspect of the right temporal lobe and these are most likely ischemic in etiology.

2. Lacunar infarcts within the head of the left caudate nucleus and the right corona radiata.