Date : 00.00.00
Name of the Patient : Abc Xyzal Panlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O stiffness all over the body with memory loss, gait imbalance and dysarthria since 3 days.
H/O excessive sleep and slowing of activities since 5 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 and Fast Scan(T2 *) coronal images.
There is an ill-defined, iso to hypointense lesion on the T1 Weighted images in the subcortical white matter in the right frontal region. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images, but blooms on the Fast Scan (T2 *) images. Perilesional hyperintense signal on the FLAIR and Fast Scan (T2 *) images may represent edema/gliotic changes.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures.
A small, ill-marginated lesion in the subcortical white matter in the right frontal region, which blooms on the Fast Scan (T2 *) images, follows the signal characteristics of hemosiderin. This may represent residual hemosiderin from a previous bleed or may represent an occult vascular malformation (possibility of calcification is less likely).