ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzkar Salgaolmn / M / 68 yrs.
Referred by : Dr. Abc Xyzgankar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait ataxia since 1 day with forgetfulness.
Known hypertensive/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.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periventricular and fronto-parietal deep white matter. These are isointense to the white matter on the T1 Weighted images and are ischemic in etiology.
There is mild dilatation of the ventricular system.
Minimal turbulence is seen in the superior portion of the fourth ventricle, aqueduct and third ventricle.
There is slight prominence of the cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex is unremarkable bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.
Incidental note is made of bilateral maxillary polyps and inflammatory changes are seen in the ethmoidal air cells.
IMPRESSION :
1. Altered signal in the pons, periventricular and fronto-parietal deep white matter are ischemic in etiology.
2. Cerebellar atrophy.