Date : 00.00.00
Name of the Patient : Abc Xyzath T. Mlmn / M / 54 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of giddiness, vomiting with difficulty in swallowing, speech difficulty and gait ataxia since 00.00.00.
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.
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right middle cerebellar peduncle, pons, lentiform nucleii bilaterally, left thalamus, bilateral corona radiata, fronto-parietal deep white matter and in the posterior parietal, periventricular white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
Dilated perivascular spaces are seen in the lentiform nuclei bilaterally.
There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
- 2 - Scan-00000
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
1. Altered signal in the right middle cerebellar peduncle, pons, lentiform nucleii bilaterally, left thalamus, bilateral corona radiata, fronto-parietal deep white matter and in the posterior parietal, periventricular white matter bilaterally most likely represents ischemic changes.
2. Mild cerebral and cerebellar atrophy.