sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / F / 53 yrs.
Referred by : Dr. Abc Xyzshtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O primary Sjogrens syndrome. No complaints at present.
For follow up.
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 sagittal and T2 Weighted coronal images through the sella and perisellar region.
5 mm thick T1Weighted sagittal images.
OBSERVATION :
There is no focal area of abnormal signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal.. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no midline shift. No obvious vascular anomaly is identified on this study.
The sella appears shallow. The pituitary gland shows a convex superior margin and measures approximately 5.0 mm in height. No focal mass lesion is identified in the pituitary gland on this study. The posterior pituitary gland shows normal signal. The pituitary stalk is in the midline. The suprasellar region and the cavernous sinuses on either side are unremarkable.
Inflammatory changes are noted in the left maxillary sinus, left anterior ethmoidal air cells and in the sphenoid sinus, posterior ethmoidal air cells on the right and mastoid air cells on the left side.
- 2 -
IMPRESSION :
1. Mild age related cerebral and cerebellar atrophy.
2. Shallow sella with a convex superior margin of the pituitary gland.
3. Inflammatory changes in the paranasal sinuses and left mastoid as described.
As compared to the previous MRI dated 00.00.0000, there is no significant change noted.