Date : 00.00.00
Name of the Patient : Abc Xyzakant S. Kawalmn / M / 67 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the LUE with mild headaches since 1 day from which patient has recovered.
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.
There is gyral thickening with effacement of the adjacent sulci in the right temporo-parietal lobe. These gyri are hypointense on the T1 Weighted images and turn hyperintense on the proton, T2 Weighted and FLAIR images. This would represent an area of ischemia/infarction.
Smaller areas with similar signal characteristics are noted within the medial and inferior aspect of the right temporal lobe, right corona radiata and head of the right caudate nucleus.
There is fullness of the fourth ventricle and prominence of the cerebellar folia bilaterally. There is mild fullness of both the lateral ventricles and mild prominence of the Sylvian fissures and cerebral cortical sulci.
Note is made of an empty sella.
The third ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The MRI features are suggestive of :
1. An area of ischemia/infarction in the right temporo-parietal lobe as described.
2. Smaller areas of altered signal within the medial and inferior aspect of the right temporal lobe, right corona radiata and head of the right caudate nucleus and these are most likely ischemic in etiology.