Date : 00.00.00

Name of the Patient : Abc Xyzda Upadhlmn / F / 67 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O momentary aphasia (10 mins) at 3.00 p.m. on 00.00.00, with weakness of the LUE. Patient has recovered since then (? TIA).

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.

OBSERVATION :

Lacunar infarcts are noted in the pons on the right side, left thalamus and lentiform nuclei bilaterally.

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left external capsular region extending into the left temporal deep white matter and corona radiata. This lesion appears isointense on the T1 Weighted images and most likely represents an ischemic lesion.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are prominent. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. 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.

IMPRESSION :

1. Lacunar infarcts in the pons, left thalamus and lentiform nuclei bilaterally.
2. Altered signal in the left external capsular region extending into the left temporal deep white matter and corona radiata most likely represents an ischemic lesion.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.