Date : 00.00.00

Name of the Patient : Abc Xyzhan Chaurlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzctor.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O stiffness of BUE and BLE with slurred speech since 3-4 years.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is prominence of the cerebral cortical sulci, Sylvian fissures and basal cisternal spaces bilaterally. Also seen is marked prominence of the cerebellar folia bilaterally. The caudate and lentiform nuclei also appear smaller in volume as compared to the normal.

There is no focal area of altered signal intensity within the brain parenchyma.

There is fullness of the third and both the lateral ventricles. Note is made of an empty sella.

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

IMPRESSION :

The MRI features are suggestive of :

1. Mild cerebral atrophy
2. Cerebellar atrophy.

A neurodegenerative disorder should be ruled out.