Date : 00.00.00

Name of the Patient : Abc Xyzn S. lmn / F / 73 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiplegia with aphasia since 4.30 pm on 00.00.00.
Known 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 seen an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the cortex in the left frontal, parafalcine region. This lesion appears hypointense on the T1 Weighted images and most likely represents a recent ischemic insult. Resultant mild indentation on the frontal horn of the left lateral ventricle is noted.

Lacunar infarcts are noted in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. 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.

IMPRESSION :

1. Altered signal along the left frontal, parafalcine cortex represents a recent ischemic insult.

2. Lacunar infarcts in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.