sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzana lmn / F / 73 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, vomiting and altered sensorium at 6.00 pm on 00.00.00.
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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

Lacunar infarcts are noted in the right cerebellar hemisphere, bilateral thalami, lentiform nuclei, head of the left caudate nucleus and in the corona radiata bilaterally.

Ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images is seen in the periventricular white matter bilaterally and in the subcortical white matter in the left fronto-temporal region and in the right frontal region. These areas appear hypointense to normal white matter on the T1 Weighted images.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.






Incidentally noted is hyperostosis frontalis interna.

IMPRESSION :

1. Lacunar infarcts in the right cerebellar hemisphere, bilateral thalami, lentiform nuclei, head of left caudate nucleus and in the corona radiata bilaterally.

2. Altered signal in the periventricular white matter bilaterally and in the subcortical white matter in the left fronto-temporal region and in the right frontal region represent ischemic changes.