Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 75 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O heaviness of the left side of the body since October 0000.
H/O HT +.

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 coronal images.

OBSERVATION :

Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

There is fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci (more so of the parietal lobes), Sylvian fissures and cerebellar folia bilaterally.

Foci which are iso to hyperintense to CSF are seen within the right lentiform nucleus and right thalamus and these most likely represent lacunes.

Slow flow is seen in the internal jugular vein and sigmoid sinus on the right side.



- 2 - Scan : 00006



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.

Inflammatory changes are seen in the sphenoid sinus.

IMPRESSION :

The MRI features are suggestive of :

1. Cerebral atrophy, more so of the parietal lobes.

2. Lacunes within the right lentiform nucleus and right thalamus.

3. Areas of altered signal within the periatrial white matter bilaterally which are most likely ischemic in etiology.