Date : 00.00.00
Name of the Patient : Abc Xyz. Chalmn / F / 86 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall on 00.00.00, followed with backache and loss of appetite.
C/O loss of bladder/bowel control since 00.00.00.
C/O headaches since 00.00.00, and drowsiness since the morning of 00.00.00.
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 are ill-defined hyperintense areas in the centrum semiovale bilaterally, left more than right and in the frontal deep white matter on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
Similar areas are also noted in the periventricular deep white matter.
There is mild to moderate dilatation of the ventricular system. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
1. Areas of altered signal in the centrum semiovale bilaterally, left more than right, in the frontal deep white matter and in the periventricular deep white matter are suggestive of ischemic changes.
2. Cerebral and cerebellar atrophy.