sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in walking since 5-6 years with pain in BLE, tingling and loss of balance.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle. The ventral pontine bulge and the olivary bulges are maintained.
Both the lateral and third ventricles are unremarkable. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle suggest cerebellar atrophy. The ventral pontine and olivary bulges are maintained.