Date : 00.00.00

Name of the Patient : Abc Xyznt Mhashelmn / M / 67 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance with diplopia since 2 days.
Known diabetic. On Rx.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

A hypointense area is noted in the left corona radiata on the T1 Weighted images and which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and would be most likely ischemic in etiology.

Similar areas are seen in the periventricular white matter and fronto-parietal deep white matter bilaterally.

There is mild to moderate dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulcal spaces. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of left maxillary sinusitis and inflammatory changes in the ethmoidal air cells and frontal sinus.
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IMPRESSION :

The MRI features are suggestive of altered signal in the left corona radiata and in the periventricular white matter and fronto-parietal deep white matter bilaterally and would ne most likely ischemic in etiology.