ke/bv
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzgli.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness, imbalance of gait and decreased sensation on the left side of face since 2-3 days.
Known hypertensive (recently detected).

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hypointense area in the posterior aspect of the medulla on the left side on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and represents an infarct (scans 103.4, 102.4, 105.8, 104.4).

A lacunar infarct (iso to CSF on all pulse sequences) is seen in the left cerebellar hemisphere.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cortical sulcal spaces in the fronto-parietal regions bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of inflammatory changes in the ethmoidal air cells and frontal sinus bilaterally.
- 2 - scan-00003



IMPRESSION :

The MRI features are suggestive of :

1. Left lateral medullary infarct.

2. A lacunar infarct in the left cerebellar hemisphere.