Date : 00.00.00
Name of the Patient : Abc XyzJ. lmn / F / 37 yrs.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
There are few foci which are near isointense to CSF on all the pulse sequences within the right periatrial white matter. These may represent prominent Virchow-Robin spaces or may be due to an ischemic insult.
Small bright foci on the proton and T2 Weighted images (iso to hypointense to white matter on the T1 Weighted images) are seen within the white matter in the frontal lobes bilaterally and these may be ischemic in etiology.
Prominent perivascular (Virchow-Robin) spaces are seen in both cerebral hemispheres. There is mild fullness of both the lateral ventricles. Also seen is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The 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.
Mild inflammatory changes are seen within both the maxillary sinuses.
The MRI features are suggestive of :
1. Foci of altered signal intensity within the right periatrial white matter and may represent prominent Virchow-Robin spaces or may be due to an ischemic insult.
2. Foci of altered signal intensity within the white matter in the frontal lobes bilaterally and these may be ischemic in etiology.
3. Mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.