sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Dlmn / F / 72 yrs.
Referred by : Dr. Abc Xyznavati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 2 days.
Known diabetic/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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right centrum semiovale. This lesion appears hypointense on the T1 Weighted images (scans 105.8, 103.15, 104.15, 102.15).

There are small bright foci on the proton, T2 Weighted and FLAIR images in the left posterior parietal periventricular white matter and in the subcortical white matter in the frontal regions bilaterally and in the head of the right caudate nucleus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal.

There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
Scan-00001


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

There is no evidence of haemorrhage on this study.

Incidentally noted is an empty sella.

IMPRESSION :

1. Altered signal in the right centrum semiovale most likely represents a recent ischemic focus.

2. Small bright foci on the proton, T2 Weighted and FLAIR images in the left posterior parietal periventricular white matter, in the subcortical white matter in the frontal regions bilaterally and in the head of the right caudate nucleus also represent ischemic foci.

3. Age related cerebral and cerebellar atrophy with mild ventricular dilatation.