sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / M / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O dysarthria and deviation of right angle of mouth with high blood pressure 1 year back.
C/O slowed down all activities with gait imbalance 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.

OBSERVATION :

Lacunar infarcts are noted in the pons, lentiform nuclei, thalami, external capsular regions bilaterally and in the right corona radiata and left centrum semiovale.

There is a diffuse, hyperintense signal on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally . This signal is iso to hypointense to the normal white matter on the T1 Weighted images.

There is mild to moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is 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.

Inflammatory changes are noted in the left maxillary antrum.

IMPRESSION :

1. Lacunar infarcts in the pons, lentiform nuclei, thalami, external capsular regions bilaterally and in the right corona radiata and left centrum semiovale.
2. Diffuse, altered signal in the periventricular white matter bilaterally most likely represents ischemic changes. In view of h/o hypertension Binswangers disease should be ruled out.
3. Mild to moderate dilatation of both the lateral and the third ventricles.