Date : 00.00.00
Name of the Patient : Abc Xyzed Ayub Anlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O chest pain since 2 days.
C/O loss of consciousness on 00.00.00.
C/O right facial droop, with slurred speech and drowsy state.
Known C/O IHD.
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.
SOME IMAGES SHOW PATIENT MOTION.
There are irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter and centrum semiovale bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and these are most likely ischemic in etiology.
Smaller areas with similar signal characteristics are noted within the pons, lentiform nuclei and white matter in the fronto-parietal lobes bilaterally.
Few well-defined areas which are iso to hyperintense to CSF on all the pulse sequences are noted within the lentiform nuclei bilaterally and these most likely represent lacunar infarcts.
There is mild fullness of the third and both the lateral ventricles. Also seen is mild prominence of the Sylvian fissures and cerebral cortical sulci bilaterally.
Note is made of an empty sella.
The fourth 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. Areas of altered signal intensity within the periventricular white matter and centrum semiovale bilaterally and within the pons, lentiform nuclei and white matter in the fronto-parietal lobes bilaterally and these are most likely ischemic in etiology.
2. Lacunar infarcts within the lentiform nuclei bilaterally.