Date : 00.00.00

Name of the Patient : Abc XyzB. lmn / F / 45 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the RUE and RLE since 00.00.00.

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 prominence of the cerebral cortical sulci with loss of volume of the left fronto-parietal lobes (frontal more than parietal). Hyperintense areas on the proton, T2 Weighted and FLAIR images are noted within these lobes and which would most likely represent gliotic changes (? the result of a previous vascular insult). There is ex-vacuo dilatation of the left lateral ventricle and prominence of the left Sylvian fissure.

There is prominence of the cerebellar folia bilaterally. The left cerebral peduncle is decreased in volume (may represent Wallarian degeneration).

The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The left frontal sinus is overpneumatized.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of encephalomalacia in the left fronto-parietal lobes (frontal more than parietal), with volume loss, suggesting left cerebral hemiatrophy.

2. Cerebellar atrophy.