Date : 00.00.00
Name of the Patient : Abc Xyzm B. Chlmn / M / 68 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O involuntary movements since 2-3 years. Similar complaints in his son.
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 are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the left lentiform nucleus and the periventricular white matter bilaterally. These lesions appear hypointense on the T1 Weighted images and most likely represent ischemic changes.
The putamen and head of the caudate nucleus bilaterally, appear slightly smaller in size, more so on the right side.
There is mild dilatation of both the lateral ventricles. There is slight fullness of the third ventricle. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
- 2 - Scan - 00000
Inflammatory changes are noted in the ethmoidal air cells and frontal sinuses.
1. Altered signal in the left lentiform nucleus and periventricular white matter bilaterally most likely represents ischemic changes.
2. Slight atrophy of the putamen and head of the caudate nucleus bilaterally - neurodegenerative disorders may be considered as a likely possibility.
3. Mild cerebral cortical atrophy.