sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzree Ashlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O giddiness with loss of consciousness for an hour on 00.00.00.
C/O gait imbalance, headaches with heaviness of head 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.

3 mm thick T2 Weighted coronal images.

The cervical spine was screened with 5 mm thick T2 Weighted sagittal images.

OBSERVATION :

There is an ill-defined hyperintense signal on the proton and T2 Weighted images in the posterior parietal periventricular white matter on the left. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and most likely represents an ischemic lesion (scans 102.13, 105.5).

The hippocampal complex is unremarkable on either side.

Mild fullness of both the lateral ventricles is noted. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.



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Inflammatory changes are noted in the sphenoid sinus and in the left mastoid air cells.

Screening images of the cervical spine do not reveal any significant feature of note.

IMPRESSION :

Altered signal in the posterior parietal periventricular white matter on the left most likely represents ischemic changes.