sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzndra Walmn / M / 85 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait ataxia, more towards right since 4 months.
Known 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

Ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the posterior parietal periventricular white matter bilaterally, right external capsular region, left corona radiata, right centrum semiovale and in the subcortical white matter in the right frontal region. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.

A lacunar infarct is noted in the left frontal subcortical white matter.

There is mild to moderate dilatation of the third and both the lateral ventricles. The fourth ventricle is normal.









There is prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. Atrophy is more pronounced in the temporo-parietal lobes.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

There is no evidence of haemorrhage on this study.

IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter bilaterally, right external capsular region, left corona radiata, right centrum semiovale and in the subcortical white matter in the right frontal region most likely represent ischemic changes.

2. A lacunar infarct in the left frontal subcortical white matter.

3. Cerebral cortical atrophy, more pronounced in the temporo-parietal lobes with mild to moderate dilatation of the ventricles as described. Neurodegenerative disorder like Picks disease or Alzheimers should be ruled out.