Date : 00.00.00
Name of the Patient : Abc XyzBartlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzhok.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance with speech disturbances since 1 1/2 months.
H/O right facial palsy 2 years ago.
To r/o demyelinating disorder.
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 is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, right cerebral peduncle and in the pons on the right, inferiorly. This lesion appears hypointense to normal white matter on the T1 Weighted images.
A similar signal intensity lesion is noted in the left cerebral peduncle and in the left parietal deep white matter.
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.
Altered signal in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, both cerebral peduncles, in the pons on the right, inferiorly and in the left parietal deep white matter is not specific for a single etiology. These lesions most likely represent ischemic lesions.
The possibility of demyelinating lesions is less likely.