Date : 00.00.00
Name of the Patient : Abc Xyzn Shlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 8 years with irrelevant talk, no control over bladder/bowel, loss of appetite and forgetfullness since 1 month.
Known hypertensive. On Rx.
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. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
There is a linear, hyperintense signal on the proton and T2 Weighted images in the right external capsular region. This lesion follows CSF signal on all pulse sequences. It has a hypointense rim on the proton and T2 Weighted images.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
1. Altered signal in the periventricular white matter bilaterally most likely represent ischemic changes.
2. A linear, altered signal in the right external capsular region as described would represent an area of encephalomalacia and may be the sequelae of a previous intraparenchymal hematoma.
3. Mild cerebral and cerebellar atrophy.