hs/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with pain in the right ear and right eye.
C/O CRF. On dialysis.
Known hypertensive.

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 T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

3 mm thick T1 Weighted axial and coronal images with fat saturation.

5 mm thick T1 Weighted axial images with magnetization transfer.

OBSERVATION :

Foci of hyperintensity on the proton and T2 Weighted images are seen within the left corona radiata and right para-atrial white matter. These are iso to hypointense to white matter on the T1 Weighted images and do not enhance after contrast administration and are most likely ischemic in etiology.

The visualized orbits, cavernous sinuses and superior orbital fissures are unremarkable.


There is ectasia of the vertebro-basilar system with indentation upon the medulla and pons.

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

There is no focal area of abnormal enhancement within the brain parenchyma or along the meninges on this scan.

Inflammatory changes are seen in the region of the mastoid air cells and middle ear on the right side.

IMPRESSION :

The MRI features are suggestive of :

1. Foci of altered signal within the left corona radiata and right para-atrial white matter which are most likely ischemic in etiology.

2. Ectatic vertebro-basilar system.

3. Inflammatory changes in the region of the mastoid air cells and middle ear on the right side.