ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyzakant N. Ghadlmn / M / 73 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc XyzBR> Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O memory lapses since 1 1/2 years.
C/O retention of urine since 2-3 days.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter, bilateral fronto-parietal deep white matter and thalami. These are hypointense to the white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Lacunar infarcts which are hyperintense to CSF on all the pulse sequences are seen in the left corona radiata, pons and bilateral thalami and lentiform nuclei.

There is moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cortical sulcal spaces in the fronto-parietal and temporal regions, 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.
Scan-00004


Incidental note is made of right maxillary sinusitis and inflammatory changes in the right mastoid air cells.

Both eyes are aphakik.

IMPRESSION :

1. Altered signal in the periventricular deep white matter, bilateral fronto-parietal deep white matter and thalami suggestive of areas of ischemia/infarction.

2. Lacunar infarcts in the left cerebral hemisphere, pons and bilateral thalami and lentiform nuclei.

3. Cerebral and cerebellar atrophy, more marked in both the temporal lobes.

Alzeihmers disease should be ruled out.