hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyz Ylmn / M / 65 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tremors in BUE and BLE since 6 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 FLAIR images within the right periatrial white matter and white matter in the left frontal lobe.

There is mild fullness of the third and both the lateral ventricles. There is prominence of the basal cisternal spaces, Sylvian fissures and cerebral cortical sulci bilaterally. Also seen is mild prominence of the cerebellar folia bilaterally.

The odontoid process is seen to be angulated posteriorly and this may suggest an old fracture at the base of the odontoid.

The fourth 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 :

The MRI features are suggestive of foci of altered signal within the right periatrial white matter and white matter in the left frontal lobe and these are most likely ischemic in etiology.