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sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzMlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzhatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness, tremors and slurred speech since 3-4 days.
Known C/O alcoholism.
H/O drug addiction 7-8 years back.

EXAMINATION :

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.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images predominantly in the high parietal cortex, bilaterally and to some extent in the subcortical white matter in that region and in the pons. These lesions appear hypointense to normal white matter on the T1 Weighted images.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

Altered signal predominantly in the high parietal cortex, bilaterally and to some extent in the subcortical white matter in that region and in the pons as described, is not specific for a single etiology. These changes may suggest ischemic changes or may be due to encephalitis.

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