Date : 00.00.00
Name of the Patient : Abc Xyz Achlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O visual defect on the right side with pain in the right eye since 2 1/2 months.
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.
3 mm thick T1 Weighted and STIR coronal images through the optic nerves.
There is volume loss in the right posterior parietal region. There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the right posterior parietal region, right periatrial region and in the right centrum semiovale. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and represent gliotic/encephalomalacic changes, most likely the sequelae of previous vascular insult. Resultant minimal fullness of the posterior body, atrium and occipital horn of the right lateral ventricle is noted.
There is slight increase in the perioptic CSF around the right optic nerve which may suggest right optic nerve atrophy.
There is loss of normal flow void signal in the petrous and cavernous segments of the right internal carotid artery which suggest slow flow/thrombus.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
1. Volume loss in the right posterior parietal region with altered signal in the subcortical white matter in the right posterior parietal region, right periatrial region and in the right centrum semiovale most likely represent gliotic/ encephalomalacic changes, probably the sequelae of previous vascular insult.
2. Right optic nerve atrophy.
3. Loss of normal flow void signal in the petrous and segments of the right internal carotid artery suggest slow flow/thrombus.