hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzm S. lmn / M / 73 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of giddiness and tendency to fall on the right with numbness since 1 day.
H/O similar complaints 1 month back from which patient recovered.

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 small area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the left thalamus with involvement of the posterior limb of the left internal capsule.

Foci with similar signal characteristics are noted within the pons and white matter in the fronto-parietal lobes bilaterally and these are most likely ischemic in etiology.

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. A lacune is seen in the right thalamus.

Both the lateral, 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.

IMPRESSION :

The MRI features are suggestive of fresh ischemic lesion/infarct in the left thalamus as described.