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ke/sb/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Slmn / M / 30 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O diminished vision of both eyes since 2 months.
C/O diplopia and burning sensation in both eyes.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and STIR coronal images.

After administration of contrast, the following parameters were used :

5 mm thick T1 Weighted axial images with magnetization transfer.

3 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hypointense focus in the right frontal periventricular white matter on the T1 Weighted images which is seen to turn hyperintense on the proton and T2 Weighted images and would represent a lacunar infarct.

The optic nerves show normal course and signal intensity. The cavernous sinuses are unremarkable.

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.




After administration of contrast, there is no abnormal area of enhancement within the brain parenchyma or the meninges.

Incidental note is made of bilateral maxillary sinusitis with a hypetrophied left inferior nasal turbinate.

IMPRESSION :

A lacunar infarct in the right frontal periventricular white matter.

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