sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyzhivrao Arvaplmn / M / 45 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of giddiness and deviation of the mouth to the left, inability to close eyes and swallow with regurgitation since 00.00.00.
Chronic alcoholic/smoker.
Known diabetic/hypertensive (recently detected).

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 is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the lower pons to the right of the midline, posteriorly extending into the proximal medulla. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the left lentiform nucleus and in the left corona radiata. Perilesional hyperintense signal on the T2 Weighted and FLAIR images around the lacunar infarcts in the left corona radiata represents gliotic changes.

Ill-defined hyperintense signal on the proton, T2 Weighted and FLAIR images in the right external capsular region and in the region of the anterior limb of the internal capsules bilaterally and left temporal lobe most likely represents ischemic changes.

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Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Alterd signal in the lower pons to the right of the midline, posteriorly extending into the proximal medulla most likely represents a recent ischemic lesion.

2. Lacunar infarcts in the left lentiform nucleus and in the left corona radiata with perilesional gliotic changes.

3. Altered signal in the right external capsular region and in the region of the anterior limb of the internal capsules bilaterally, most likely represents ischemic changes.