ke/hs/nl/rg.
/88 Date : 00.00.00

Name of the Patient : Abc Xyzm B. Dlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered behaviour since 6 months.

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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images within the pons, bilateral thalami, periventricular deep white matter, corona radiata and centrum semiovale. These are iso to hypointense to white matter on the T1 Weighted images and are ischemic in etiology.

Hypointense areas on the T1 Weighted images which are seen to follow CSF signal intensity characteristics on all the pulse sequences are seen within the right cerebellar hemisphere, pons, bilateral thalami and bilateral corona radiata and centrum semiovale and would represent lacunar infarts.

There is fullness of both the lateral and third ventricles. There is prominence of the cerebral cortical sulci and the cerebellar folia bilaterally.

The basal cisternal spaces are mildly prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

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Incidental note is made of inflammatory changes wtihin the mastoid air cells bilaterally.

IMPRESSION :

1. Altered signal within the pons, bilateral thalami, periventricular deep white matter, corona radiata and centrum semiovale is most likely ischemic in etiology.

2. Lacunar infarcts within the right cerebellar hemisphere, pons, bilateral thalami and bilateral corona radiata and centrum semiovale.

3. Cerebral and cerebellar atrophy.