ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Plmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tremors in all four extremities with neckpain and forgetfullness since 15 days.
Chronic alcoholic.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally. This is isointense to grey matter on the proton and T2 Weighted images and may represent paramagnetic substance deposition (scans 104.9, 102.9).

Prominent perivascular spaces are seen in cerebral hemispheres bilaterally.

There is mild to moderate dilatation of the ventricular system with prominence of the cerebral cortical sulci (more marked in the temporal lobes) 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.

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IMPRESSION :

1. Altered signal in the globus pallidus bilaterally may represent paramagnetic substance deposition.

The diagnosis of hepatolenticular degeneration should be considered.

2. Cerebral and cerebellar atrophy.