Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc Xyzidevi Palmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O paresthesias on the right side of the face since 15 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.

3 mm and 5 mm thick FLAIR coronal images.

OBSERVATION :

There is a hyperintense signal in the right postero-lateral aspect of the ponto-medullary junction on the proton, T2 Weighted and the FLAIR images. This is hypointense on the T1 Weighted images and is suggestive of an area of ischemia.

A small, bright focus on the FLAIR images is noted in the subcortical white matter in the right frontal region.

Both the 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. Slight prominence of the cerebellar folia is noted.

IMPRESSION :

The MRI features are suggestive of an area of ischemia in the right postero-lateral aspect of the ponto-medullary junction.
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