Date : 00.00.00
Name of the Patient : Abc XyzVarlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzshar / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the right half of body with slight slurred speech since morning of 00.00.00.
Past H/O weakness on the left side of body, from which patient recovered.
Known diabetic/hypertensive. No Rx.
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 Fast Scan (T2 *) and FLAIR coronal images.
Diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images (iso to hypointense to white matter on the T1 Weighted images) are seen within the periventricular white matter bilaterally and left corona radiata and centrum semiovale bilaterally and these are most likely ischemic in etiology.
Small areas with similar signal characteristics are seen within the pons, thalamus and white matter in the fronto-parietal lobes bilaterally.
Lacunar infarcts (iso to hyperintense to CSF) are noted within the lentiform nuclei bilaterally, left parietal lobe and right frontal lobe. A few of these show peripheral gliotic changes. There is ex-vacuo dilatation of the left lateral ventricle.
There is fullness of the ventricular system. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces. Prominent Virchow-Robin spaces are noted in both the lentiform nuclei.
No obvious vascular anomaly is identified on this study.
No obvious intraparenchymal hemorrhage is seen on this scan. Inflammatory changes are seen in the left maxillary sinus and ethmoidal air cells.
The MRI features are suggestive of :
1. Areas of altered signal intensity within the periventricular white matter, basal ganglia and white matter in the fronto-parietal lobes bilaterally, pons and the left corona radiata and centrum semiovale are most likely, ischemic in etiology.
2. Lacunar infarcts in the lentiform nuclei bilaterally, left parietal lobe and the right frontal lobe.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.