sb/hs/nl/nl

Name of the Patient : Abc Xyzdha Kolhalmn / F / 61 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imabalance with slowing of routine activities since 1 1/2 years.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and Flair images in the periventricular white matter and temporal lobes bilaterally, external capsular region and in the corona radiata and centrum semiovale bilaterally. These lesions are hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic lesions.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the pons, bilateral thalami, genu of the corpus callosum, right corona radiata and in the centrum semiovale bilaterally.

There is mild prominence of the cerebellar folia and cerebral cortical sulci bilaterally.

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



No obvious hemorrhage is noted on this study.

A polyp is noted in the right maxillary antrum.

IMPRESSION :

1. Altered signal in the periventricular white matter and temporal lobes bilaterally, external capsular region and in the corona radiata and centrum semiovale bilaterally are most likely represent ischemic lesions.

2. Lacunar infarcts in the pons, bilateral thalami, genu of the corpus callosum, right corona radiata and in the centrum semiovale bilaterally.