Date : 00.00.00

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

CLINICAL PROFILE :

C/O difficulty in swallowing since 8 days.

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 the posterior parietal, periventricular deep white matter, bilateral centrum semiovale, in the left corona radiata and the frontal deep white matter. These are isointense to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Lacunar infarct (hyperintense on all the pulse sequences) is noted in the right lentiform nucleus.

There is mild dilatation of both the lateral ventricles. There is slight prominence of the cerebral cortical sulcal spaces in the fronto-parietal regions bilaterally.

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.

Inflammatory changes are noted in the left maxillary antrum. A subgaleal lipoma is noted in the high frontal region in the midline.

IMPRESSION :

1. Altered signal in the posterior parietal, periventricular deep white matter, bilateral centrum semiovale, in the left corona radiata and the frontal deep white matter are suggestive of areas of ischemia/infarction.

2. Lacunar infarct in the right lentiform nucleus.