sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzsham Palmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis with slurred speech since 3.00 pm on 00.00.00.

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.

OBSERVATION :

The gyri in the right temporo-parietal region appear slightly swollen and show an ill-defined hypointense signal on the T1 Weighted images which appears hyperintense on the proton, T2 Weighted and FLAIR images. There is resultant slight effacement of the cortical sulcal spaces and the right Sylvian cistern.

Similar signal intensity change is noted in the right lentiform nucleus.

Both the lateral, 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 right maxillary antrum, ethmoidal air cells and sphenoid sinus on the left.

IMPRESSION :

Altered signal along the right temporo-parietal cortex and the right lentiform nucleus suggest an acute vascular insult along the distribution of the right middle cerebral artery.