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Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.


C/O gait imbalance with difficulty in speaking and inability to perform fine movements with hand since 6 months.


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 coronal images.


Hyperintense areas are seen in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images which are isointense to white matter on the T1 Weighted images and would represent terminal areas of myelination.

A lacunar infarct which is hyperintense to CSF on all the pulse sequences is noted in the
left posterior parietal deep white matter.

There is suggestion of the caudate and lentiform nuclei appearing smaller as compared to normal.

There is moderate dilatation of both the lateral, third and the fourth ventricles. There is prominence of the cerebellar folia bilaterally. The basal cisternal spaces are prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The superior surface of the pituitary appears convex.


Cerebral and cerebellar atrophy.

A neurodegenerative disorder should be ruled out.

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