ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz P. Patalmn / M / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O heaviness of tongue since 00.00.00.
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.

5 mm thick FLAIR coronal images.

OBSERVATION :

There are hyperintense areas on the proton and T2 Weighted images within the pons on the left side, right thalamus, left middle cerebellar peduncle, periventricular regions bilaterally, right external capsule and right corona radiata. These are isointense to the white matter on the T1 Weighted images and are suggestive of areas of ischemia.

Lacunar infarcts are noted in the left thalamus, both lentiform and caudate nuclei, right corona radiata and centrum semiovale.

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

Incidental note is made of inflammatory changes in the frontal sinus and the ethmoidal air cells.

A mega cisterna magna is noted.
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IMPRESSION :

The MRI features are suggestive of :

1. Areas of altered signal within the pons on the left side, right thalamus and left middle cerebellar peduncle and periventricular regions bilaterally, right external capsule and right corona radiata would represent ischemic changes.

2. Lacunar infarcts in the left thalamus, both lentiform and caudate nuclei, right corona radiata and centrum semiovale.