sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of Sella & perisellar region.
CLINICAL PROFILE :
C/O generalised weakness with memory lapses since 00.00.00.
Suspected to have central hypothyroidism.
Known hypertensive. On Rx since 2 weeks.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal and axial images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The pituitary gland measures approximately 3.0 mm in height. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinus and the suprasellar cistern are unremarkable.
The screening T2 Weighted axial images of the brain reveal ill-defined hyperintense signal in the pons, midbrain, posterior parietal periventricular white matter bilaterally and in the centrum semiovale bilaterally. These most likely represent ischemic changes.
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Mild fullness of both lateral and the third ventricle is noted with prominent cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. The fourth ventricle is normal. There is no midline shift.
IMPRESSION :
1. Altered signal in the pons, midbrain, posterior parietal periventricular white matter bilaterally and in the centrum semiovale bilaterally most likely represents ischemic changes.
2. Mild age related cerebral cortical and cerebellar atrophy.
3. No significant abnormality is detected in the sella and perisellar region.