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Date : 00.00.00

Name of the Patient : Abc Xyzande Palmn / M / 60 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Brain.


C/O stiffness of BLE with pain since 2 years.
H/O fever +.
Known diabetic.


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.


A lacunar infarct is noted in the left thalamus.

Prominent perivascular spaces are seen in the cerebral hemispheres bilaterally.

There is slight hypoplasia of the right cerebellar hemisphere with a mega cisterna magna.

Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the ethmoidal air cells and the mastoid air cells bilaterally.


1. A lacunar infarct in the left thalamus.

2. Mild cerebral cortical and cerebellar atrophy.

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