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Date : 00.00.00

Name of the Patient : Abc Xyzmal lmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O slowing of activities since several years.
C/O loss of consciousness for 5-6 hours, 5-6 days ago with inability to speak clearly.

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 are small bright foci on the proton, T2 Weighted and FLAIR images in the left centrum semiovale, white matter in both parietal lobes and white matter in the right frontal lobe. These are isointense to white matter on the T1 Weighted images.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, sylvian fissures and basal cisternal spaces bilaterally.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Foci of altered signal in the left centrum semiovale, white matter in both parietal lobes and white matter in the right frontal lobe and these are most likely ischemic in etiology.

2. Mild cerebral cortical atrophy.

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