Date : 00.00.00
Name of the Patient : Abc Xyzath Klmn / M / 75 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O involuntary movements of the left hand since 1 year.
Past H/O left sided hemiparesis (3 episodes since 0000) from which patient has recovered.
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 evidence of an ill-defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the right parieto-occipital lobes. This would represent an old infarct.
There are areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the right centrum semiovale and periventricular white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
There are lacunar infarcts (iso to hyperintense to CSF) within the right thalamus, left lentiform nucleus and left corona radiata.
There is fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci, Sylvian fissures and cerebellar folia bilaterally. Also seen is mild prominence of the basal cisternal spaces with presence of an empty sella.
The normal intraocular lens is not visualized on either side, ? due to cataract surgery.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
1. An old infarct within the right parieto-occipital lobes.
2. Areas of altered signal within the right centrum semiovale and periventricular white matter bilaterally are most likely ischemic in etiology.
3. Lacunar infarcts within the right thalamus, left lentiform nucleus and left corona radiata.