Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzdeo.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tingling in both hands since 8-10 days.

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.

3 mm thick STIR coronal images through the optic nerves.

OBSERVATION :

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

Small areas with similar signal characteristics are noted within the subcortical and deep white matter in the fronto-parieto- temporal lobes bilaterally.

There is fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical spaces, basal cisternal spaces and cerebellar folia bilaterally.

The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

- 2 - Scan :00005


The optic nerves on either side show normal signal.

Incidental note is made of pansinusitis.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of altered signal within the periventricular white matter bilaterally are most likely ischemic in etiology.

2. Small areas of altered signal within the subcortical and deep white matter in the fronto-parieto-temporal lobes bilaterally. These may be ischemic in etiology or may represent demyelinating plaques especially in view of the findings in the cervical spinal cord (scan no:00003 dated 00.00.00).