ke/bv
Date : 00.00.00

Name of the Patient : Abc XyzSalmn / M / 66 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with giddiness and gait ataxia since 2-4 years which has increased since 10 days.
Known hypertensive. On Rx.

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.
MR cisternogram was also obtained.

After administration of contrast the following parameters were used :

3 mm thick T1 Weighted axial and coronal images.
5 mm thick T1 Weighted axial (with magnetization transfer) and sagittal images.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the bilateral corona radiata, centrum semiovale, left temporal region, right thalamus, frontal and the periatrial deep white matter. These are isointense to white matter on the T1 Weighted images and are most likely ischemic in origin.

The seventh and eighth nerve complex on either side is unremarkable. No abnormal area of enhancement is seen along the seventh and eighth nerve complex.

A hyperintense area is seen in the interhemispheric region, better appreciated on the FLAIR images (scan 110.8) is seen to ..2/.








enhance in the interhemispheric region (scan 108.18-19) ? meningeal thickening.

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.

There is no other abnormal area of enhancement in the brain parenchyma or along the meninges.

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

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal in the bilateral corona radiata, centrum semiovale, left temporal region, right thalamus and frontal and the periatrial deep white matter suggestive of areas of ischemia.

2. Altered signal with contrast enhancement in the interhemispheric region is ? meningeal thickening.