ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Jagtlmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyz. Pai.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided weakness with loss of memory 2 weeks back.
Similar complaints (off & on) since then.

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 :

There is a small hypointense area on the T1 Weighted images in the right corona radiata. This seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and may represent a fresh infarct.

Hyperintense areas are noted on the proton, T2 Weighted and FLAIR images in the fronto-parietal deep white matter. These are iso to hypointense to white matter on the T1 Weighted images and are probably ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) on all the pulse sequences) are seen in bilateral lentiform nucleii, left thalamus and bilateral corona radiata.

There is mild dilatation of both the lateral ventricles. The third and fourth ventricles are normal. There is prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.


IMPRESSION :

1. A probable fresh infarct in the right corona radiata.

2. Altered signal in the fronto-parietal deep white matter are probably ischemic in etiology.

3. Lacunar infarcts in bilateral lentiform nucleii, left thalamus and bilateral corona radiata.