ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzranjan Almlmn / M / 76 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of weakness of the RUE 1 month back.

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.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

There are small hyperintense areas on the proton, T2 Weighted and FLAIR images in the left corona radiata and centrum semiovale, left lentiform nucleus and in the periventricular deep white matter. These are isointense to normal white matter on the T1 Weighted images and are probably ischemic in etiology.

Prominent perivascular spaces are seen in the periventricular white matter bilaterally.

The seventh and eighth cranial nerve complex on either side is unremarkable.

There is slight fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.




The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of mild inflammatory changes in the maxillary sinuses and right mastoid air cells.

IMPRESSION :

1. Altered signal in the left corona radiata and centrum semiovale, left lentiform nucleus and in the periventricular deep white matter are probably ischemic in etiology.

2. Cerebral atrophy.