sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Mehdihlmn / M / 80 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided weakness with dysarthria and high blood pressure 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 is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right corona radiata extending into the right centrum semiovale. This lesion appears hypointense on the T1 Weighted images and most likely represent ischemic lesion, probably recent in the given clinical setting.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periventricular white matter bilaterally and in the subcortical white matter in the left fronto-temporal region. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic lesions.

Lacunar infarcts are noted in the lentiform nuclei and thalami bilaterally.

There is mild dilatation of both the lateral, third and the fourth ventricles. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebellar cortical sulci bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

A CSF intensity lesion in the left anterior temporal region may either represent a prominent sulcal space or may represent a small arachnoid cyst.
...2/..










- 2 -


IMPRESSION :

1. Altered signal in the right corona radiata extending into the right centrum semiovale most likely represent ischemic lesion, probably recent, in the given clinical setting.

2. Altered signal in the pons, periventricular white matter bilaterally and in the subcortical white matter in the left fronto-temporal region most likely represent ischemic lesions.

3. Lacunar infarcts in the lentiform nuclei and thalami bilaterally.