sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Thlmn / M / 52 yrs.
Referred by : Dr. Abc Xyztdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided headaches since 2 months.

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 are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the fronto-parietal regions bilaterally and in the left periatrial region. These lesions appear isointense to normal white matter on the T1 Weighted images.

There is mild asymmetric fullness of the left lateral ventricle as compared to the right.

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.

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

Altered signal in the subcortical white matter in the fronto-parietal regions bilaterally and in the left periatrial region most likely represent ischemic changes. The possibility of demyelinating plaques is less likely.