Date : 00.00.00
Name of the Patient : Abc Xyz Vishnupurlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O sudden onset of right sided hemiparesis with inability to speak since 11.30 am of 00.00.00. Paresis recovered but speech defect persist.
Similar complaint 1 week back, 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 an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left temporo-parietal cortex. This lesion appears nearly isointense to normal grey matter on the T1 Weighted images. Resultant slight effacement of the cerebral cortical sulci in the left temporo-parietal region is noted.
Hyperintense signal is also noted in the posterior part of the putamen on the left side on the T2 Weighted and STIR images (se/im 103/12, 105/11).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is no obvious haemorrhage on this study.
Mucosal thickening is noted in the left maxillary antrum.
Altered signal in the left temporo-parietal cortex and the posterior part of the putamen on the left side as described represents a recent infarct, in the given clinical setting.