sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz Palmn / M / 58 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road accident on 00.00.00 with loss of consciousness for 2 1/2 hours.
Now C/O memory lapses and gait imbalance.
Known diabetic.
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 :
There is a small bright focus on the T2 Weighted and FLAIR images in the left frontal deep white matter. These most likely represents an ischemic focus.
Prominent perivascular spaces are noted in the cerebral convexity.
No extracerebral collection is identified on this study.
There is mild dilatation of both the lateral and third ventricles. 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 :
Altered signal in the left frontal deep white matter most likely represents an ischemic focus.