hs/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Klmn / M / 46 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with diplopia since 1 month.
C/O 1 episode of seizure in June 0000.

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 T2 Weighted coronal images.

OBSERVATION :

There are areas which are iso to hyperintense to CSF on all the pulse sequences within the head of the caudate nucleus and anterior aspect of the lentiform nucleus on the left side and the left posterior parietal lobe. These would most likely represent lacunar infarcts.

Hyperintense signal is identified in the left posterior parietal lobe on the FLAIR sequences which would represent gliotic changes (scans 106.1-3)

There is a decrease in the volume of the right hippocampus (head and body) and it shows a subtle hyperintense signal on the T2 Weighted images. The right temporal horn is dilated.

There is mild fullness of the fourth and both the lateral ventricles.

There is prominence of the cerebellar folia and cerebral cortical sulci bilaterally.
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The third ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Lacunar infarcts within the head of the caudate nucleus and anterior aspect of the lentiform nucleus on the left side and the left posterior parietal lobe.

2. Gliotic changes in the right posterior parietal lobe.

3. Hippocampal sclerosis on the right side.