Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 59 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness with blurred vision (on the left side) and occasional tingling in the LUE and LLE since 00.00.00.
Known diabetic/hypertensive. On Rx.
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 evidence of a diffuse area of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the right temporo-occipital lobe and is also seen to be involving the cortical grey matter and subcortical white matter and would most likely represent a fresh infarct. Similar but smaller area is seen in the right high parietal region.
Multiple well-defined areas which are iso to hyperintense to CSF on all the pulse sequences are noted within the lentiform nucleus and corona radiata bilaterally, head of the left caudate nucleus, left centrum semiovale, right middle cerebral peduncle and right cerebellar hemisphere.
Small areas of hypointensity on the T1 Weighted images which are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images within white matter in the fronto-parietal lobes and periventricular white matter bilaterally and would represent ischemic changes.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is fullness of the third and both the lateral ventricles.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
There is ectasia of the vertebro-basilar system.
The MRI features are suggestive of :
1. Altered signal intensity within the right temporo-occipital lobe and right high parietal region would most likely represent a fresh infarct.
2. Lacunar infarcts within the lentiform nucleus and corona radiata bilaterally, head of the left caudate nucleus, left centrum semiovale, right middle cerebral peduncle and right cerebellar hemisphere.