hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz. Plmn / F / 82 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall with weakness of the LUE and LLE 3-4 days back.

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 is evidence of a well-defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the posterior aspect of the left lentiform nucleus. This most likely represents a recent area of ischemia/infarction.

There are multiple areas of hyperintensity on the proton, T2 Weighted and FLAIR images in the periventricular white matter,
corona radiata and centrum semiovale bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

There is fullness of the third and both the lateral (right more than left) ventricles. There is mild prominence of the cerebral cortical sulci bilaterally.

Hyperintense signal within the transverse and sigmoid sinuses on the left side on all the pulse sequences may represent slow flow.

Inflammatory changes are noted within the mastoid air cells on the left side.
>

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

IMPRESSION :

The MRI features are suggestive of :

1. A fresh infarct in the posterior aspect of the left lentiform nucleus.

2. Areas of altered signal in the periventricular white matter,
corona radiata and centrum semiovale bilaterally are most likely ischemic in etiology.