sb/bv/nl/rg.
Name of the Patient : Abc Xyzelmn / M / 40 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness and vomiting on 00.00.0000 and seizures on 00.00.0000. Akinetic mute.
H/O Pulmonary kochs since July 0000. On AKT since then.
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.
SOME IMAGES SHOW PATIENT MOTION. AS PATIENT WAS UNABLE TO COMPREHEND.
OBSERVATION :
There is a hyperintense signal on the proton, T2 Weighted and FLAIR images in the pons, centrally, lentiform nuclei and heads of caudate nuclei bilaterally and in the thalami, bilaterally. These lesions appear hypointense to normal grey matter on the T1 Weighted images.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. There is no evidence of venous sinus thrombosis on this study.
On a limited MRA sequence, the neck and intracranial segments of both internal carotid arteries and vertebral arteries show normal flow signal.
..2/.
- 2 - Scan-00004
IMPRESSION :
Nearly symmetric, altered signal in the lentiform nuclei and heads of caudate nuclei bilaterally and in the thalami bilaterally and in the pons, centrally is not specific for a single etiology. A hypoxic-ischemic insult to the brain is a likely possibility.