ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzen Milmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiplegia.
H/O hypertension.

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 hypointense area in the left thalamus on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent a recent infarct.

Hyperintense areas are seen in the periventricular deep white matter, right thalamus, bilateral corona radiata, the left centrum semiovale, the head of the caudate nucleus on the left side and subcortical white matter in the fronto-temporal regions bilaterally on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

A lacunar infarct which is hyperintense to CSF on all the pulse sequences is seen in the left cerebellar hemisphere.









There is slight prominence of the cerebral cortical sulcal spaces in the fronto-parietal regions.

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.

Incidental note is made of left maxillary sinusitis and inflammatory changes in the ethmoidal air cells.

IMPRESSION :

1. A recent infarct in the left thalamus.

2. Altered signal in the periventricular deep white matter, right thalamus, bilateral corona radiata, the left centrum semiovale, the head of the caudate nucleus on the left side and subcortical white matter in the fronto-temporal regions bilaterally are suggestive of areas of ischemia/infarction.

3. A lacunar infarct in the left cerebellar hemisphere.