ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Blmn / F / 74 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and vomiting since 00.00.00.
Known diabetic (recently detected) and ? hypertensive.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Hyperintense areas are seen along the sulci in the temporo- parietal regions and in the region of the Sylvian fissure on the proton, T2 Weighted and FLAIR images, (better appreciated on the FLAIR images). These are isointense to the gray matter on the T1 Weighted images.

Hyperintense areas are seen in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images and are isointense to white matter on the T1 Weighted images suggests ischemic changes.

There is fullness of both the lateral ventricles. The 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.

Incidental note is made of left maxillary sinusitis.
00006
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Both eyes are aphakic.

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal along the sulci in the temporo-parietal regions and in the region of the Sylvian fissure would represent subarachnoid haemorrhage.

2. Altered signal in the periatrial deep white matter suggests ischemic changes.

A DSA would be worthwhile.