sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzand Thlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tingling in the RUE and on the right side of face with numbness in the RUE since 8 days.
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 a well marginated, hyperintense lesion on the proton, T2 Weighted and FLAIR images in the left thalamus. This lesion appears hypointense to normal grey matter on the T1 Weighted images.
Ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images are noted in the posterior parietal periventricular white matter bilaterally, in the left fronto-parietal and right frontal deep white matter.
There is mild fullness of both the lateral ventricles. The third and 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 left thalamus represents an ischemic lesion, most likely recent, in the given clinical setting.
Altered signal in the posterior parietal periventricular white matter bilaterally, in the left fronto-parietal and right frontal deep white matter may also represent ischemic changes.