hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 63 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait ataxia since 1 day.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular and fronto-parietal white matter bilaterally, pons and the basal ganglia bilaterally. These are isointense to hypointense to white matter on the T1 Weighted images and these most likely are ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the basal ganglia bilaterally, pons, right cerebellar hemisphere and corona radiata bilaterally.

There is mild dilatation of the third and both the lateral ventricles. Also seen is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00000



Note is made of a giant cisterna magna.

There is no obvious intracerebral bleed on this scan.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of altered signal within the periventricular and fronto-parietal white matter bilaterally, pons and the basal ganglia bilaterally and these most likely is ischemic in etiology.

2. Lacunar infarcts within the basal ganglia bilaterally, pons, right cerebellar hemisphere and corona radiata bilaterally.

3. Cerebral and cerebellar atrophy.