sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi Milmn / F / 55 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 6-12 months.
C/O mild left sided facial paresis since 1-2 days.

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 coronal images.

OBSERVATION :

Lacunar infarcts (iso to hyperintense to CSF) are noted in the region of the external capsules bilaterally.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical and deep white matter in the fronto-parietal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.

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.

Mucosal thickening is noted in the sphenoid sinus.

IMPRESSION :

1. Lacunar infarcts in the region of the external capsules bilaterally.

2. Altered signal in the subcortical and deep white matter in the fronto-parietal regions bilaterally most likely represent ischemic changes.