ke/bv/rg
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 89 yrs.
Referred by : Dr. Abc Xyzthe.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O blurring of vision bilaterally (momentarily) while reading since 2 months.
Opthalmic examination s/o pallor of optic discs.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Small bright foci on the proton and T2 Weighted images in the frontal deep white matter and corona radiata bilaterally are probably ischemic in etiology. These appears isointense to hypointense on the T1 Weighted images.

The optic nerves on either side appear smaller in size without any change in signal with slight increase in the perioptic CSF suggestive of optic atrophy, bilaterally, more marked on the left side.

There is slight fullness of both the lateral ventricles. The
third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic with indentation upon the left antero-lateral aspect of the lower pons and medulla.



Incidental note is made of mild inflammatory changes in the right mastoid air cells.

IMPRESSION :

Small size of the optic nerves, bilaterally, more marked on the left side is suggestive of bilateral optic atrophy.