Displaying items by tag: cavum

ke/sb
Date : 00.00.00

Name of the Patient : Abc XyzV. lmn / F / 74 yrs.
Referred by : Dr. Abc Xyz Mehta / Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O Parkinsonism since 2 years.
C/O stiffening of BLE, inability to speak/express herself and bladder/bowel incontinence since 1 1/2 months.
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 T2 Weighted coronal images.

OBSERVATION :

There is a hypointense area in the left thalamus on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted images and would represent an old infarct. Similar signal is also noted in the right lentiform nucleus. An old infarct is also noted in the left high parietal cortex with volume loss.

There are hyperintense areas in the periventricular deep white matter on the proton and T2 Weighted images. These are iso to hypointense to normal white matter on the T1 Weighted images and would represent ischemic changes.

There is mild dilatation of both the lateral and third ventricles with fullness of the fourth ventricle. There is resultant thinning of the corpus callosum. There is prominence of the cortical sulcal spaces in the fronto-parietal regions and the 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.

Note is made of a cavum septum pellucidum and cavum vergae which are also dilated. An empty sella is noted.


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IMPRESSION :

1. Altered signal in the left thalamus, left high parietal cortex and in the right lentiform nucleus would represent old infarcts.

2. Altered signal in the periventricular deep white matter represent ischemic changes.

3. Cerebral atrophy.