sb/bv
Date : 00.00.00

Name of the Patient : Abc XyzMulmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O parkinsonism since 0000.
C/O sudden onset of bending on the left side (momentarily) for few minutes.
Known diabetic. 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.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons (predominantly on the right side), in the subcortical white matter in the temporo-parietal regions bilaterally, left corona radiata and in the frontal deep white matter bilaterally. These lesions appears nearly isointense to normal white matter on the T1 Weighted images. Similar changes are noted in the lentiform nuclei bilaterally and in the right thalamus.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is hyperostosis frontalis interna.
- 2 - scan-00005


IMPRESSION :

Altered signal in the pons, in the subcortical white matter in the temporo-parietal regions bilaterally, left corona radiata, in the frontal deep white matter bilaterally and in the lentiform nuclei bilaterally and in the right thalamus represents ischemic changes.