sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlah Chaudlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O depression since 5 years. On antidepressant since 2 months.
C/O heaviness of head, numbness on the right side of face and tongue with inability to taste from the right side and inability to smell since 2 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 is a wedge shaped hyperintense signal on the proton, T2 Weighted and FLAIR images in the left high frontal cortex. This lesion appears hypointense on the T1 Weighted images with a peripheral marginal, hyperintensity. Minimal volume loss is noted in that region. A similar signal intensity lesion is noted in the right high frontal cortex (scan 105.15).

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.

IMPRESSION :

Altered signal in the left high frontal cortex most likely represents an ischemic lesion. Evidence of petechial haemorrhage is noted. Similar lesion is noted in the right high frontal cortex.