Date : 00.00.00
Name of the Patient : Abc Xyz Pandilmn / M / 41 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness and headaches since 1 month.
H/O right hemiparesis in 0000.
Chronic tobacco chewer and alcoholic.
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 well-defined areas which are iso to hyperintense to CSF on all the pulse sequences within the corona radiata bilaterally and these would represent lacunar infarcts. These also show peripheral gliotic changes (hyperintense on the proton, T2 Weighted and FLAIR images).
Smaller areas with similar signal characteristics are noted within the lentiform nuclei (extending into the posterior limb of the internal capsule) bilaterally and pons.
There is fullness of the ventricular system and prominence of the cerebral cortical sulci, Sylvian fissures and cerebellar folia bilaterally.
Note is made of an empty sella.
The basal cisternal spaces are also prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the ethmoidal air cells and both maxillary sinuses.
The MRI features are suggestive of :
1. Lacunar infarcts within the corona radiata bilaterally,
lentiform nuclei (extending into the posterior limb of the internal capsule) bilaterally and pons.
2. Cerebral and cerebellar atrophy.