sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Ylmn / F / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right hemiparesis with speech disturbances since 6 months.
Known hypertensive & diabetic.

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 :

There is seen a small hypointense signal, more pronounced on the T2 Weighted and Fast Scan (T2 *) images in the left thalamus. This lesion appears iso to slightly hyperintense to normal white matter on the T1 Weighted images.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale and in the pons. These appear iso to hypointense to normal white matter on the T1 Weighted images.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the head of the left caudate nucleus and in the right lentiform nucleus.

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

Soft tissue swelling is noted in the left periorbital region.
..2/.








IMPRESSION :

1. Altered signal in the left thalamus represents residual haemosiderin, most likely the sequelae of a previous bleed.

2. Altered signal in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale and in the pons most likely represents ischemic changes.

3. Lacunar infarcts in the head of the left caudate nucleus and in the right lentiform nucleus.

4. Mild cerebral cortical and cerebellar atrophy.