ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / M / 75 yrs.
Referred by : Dr. Abc Xyzia / Dr. Abc Xyzka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with gait ataxia since 5-6 months.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick FLAIR and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
A limited MR Angiogram sequence was also obtained.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter. These are iso to hypointense to white matter on the T1 Weighted images and are probably ischemic in etiology.

Prominent perivascular spaces are seen in the lentiform nuclei bilaterally.

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures.





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The internal carotid artery in the cavernous portion on the left side and the left middle cerebral artery appears prominent and slightly tortuous. Slow flow is noted in the right jugular vein.

Both eyes appear aphakik.

IMPRESSION :

1. Altered signal in the periventricular deep white matter is probably ischemic in etiology.

2. Mild cerebral and cerebellar atrophy.