Displaying items by tag: insular

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Ylmn / M / 60 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the LUE with slurred speech and giddiness since 1 day.
H/O angioplasty done 8 years ago.

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 coronal images.

OBSERVATION :

There is slight thickening of the gyri in the right temporo-parietal region and the posterior aspect of the insular cortex. These are hypointense to the gray matter on the T1 Weighted images and are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images (scans 103.8-14, 105.2-9, 102.8-14).

There is no evidence of haemorrhage.

A hypointense area is seen in the right thalamus on the T1 Weighted images which turns hyperintense on the proton and T2 Weighted images and represents a lacunar infarct.

There is mild to moderate dilatation of both the lateral ventricles with fullness of the third ventricle. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of inflammatory changes in the ethmoidal air cells and the frontal sinus.

IMPRESSION :

1. Recent infarct in the right temporo-parietal region and the posterior aspect of the insular cortex.

2. A lacunar infarct in the right thalamus.