Date : 00.00.00
Name of the Patient : Abc Xyzi Karhalmn / F / 75 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance with giddiness since 2 years.
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.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the subcortical and deep white matter in the fronto-parietal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes. Similar changes are noted in the pons, centrally.
There is mild to moderate dilatation of both the lateral and third ventricles and mild dilatation of the fourth ventricle. There is mild prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Both eyes are aphakic.
Incidentally noted is an empty sella.
1. Altered signal in the periventricular white matter bilaterally, pons centrally and in the subcortical and deep white matter in the fronto-parietal regions bilaterally most likely represents ischemic changes.
2. Mild to moderate dilatation of the ventricular system with mild cerebral cortical and cerebellar atrophy.