sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzhdas Kaplmn / M / 70 yrs.
Referred by : Dr. Abc Xyz Shah / Dr. Abc Xyzthari.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tonic/clonic convulsion at 10.00 pm on 00.00.00.
Known hypertensive.

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.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the deep white matter in the fronto-parietal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

Lacunar infarcts are noted in the left cerebellar hemisphere and head of right caudate nucleus.

There is mild to moderate dilatation of both the lateral and third ventricles and slight prominence of the fourth ventricle. There is prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally.







There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The hippocampal complex is unremarkable on either side.

Anterior falx calcification is noted in the interhemispheric fissure.

IMPRESSION :

1. Altered signal in the periventricular white matter bilaterally and in the deep white matter in the fronto-parietal regions bilaterally represent ischemic changes.

2. Lacunar infarcts in the left cerebellar hemisphere and head of right caudate nucleus.

3. Cerebral cortical with cerebellar atrophy with mild to moderate dilatation of both the lateral and third ventricles.