Date : 00.00.00

Name of the Patient : Abc Xyzai Chlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, giddiness and twitching of face since 2 days.
Known hypertensive. On Rx.

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 are hyperintense areas on the proton, T2 Weighted and FLAIR images in bilateral corona radiata and centrum semiovale, periventricular deep white matter, pons on the right side and right frontal deep white matter. These are iso to hypointense to white matter on the T1 Weighted images and would represent ischemic areas.

Lacunar infarcts are seen in the right cerebellar hemisphere, bilateral lentiform nuclei and right corona radiata.

There is mild dilatation of both the lateral ventricles with fullness of the fourth and third ventricles.

There is slight prominence of the cortical sulcal spaces in the fronto-parietal regions and cerebellar folia. The basal cisternal spaces are prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of left maxillary sinusitis and an empty sella.
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IMPRESSION :

1. Ischemic areas in bilateral corona radiata and centrum semiovale, periventricular deep white matter, pons on the right and right frontal deep white matter.

2. Lacunar infarcts in the right cerebellar hemisphere, bilateral lentiform nuclei and right corona radiata.