Date : 00.00.00
Name of the Patient : Abc Xyzai Mahlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiparesis since 15 days.
H/O similar complaints 4-5 years back from which patient 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 coronal images.
There are CSF intensity lesions on all the pulse sequences in the posterior parietal periventricular white matter on the left. These lesions represent areas of cystic encephalomalacia, most likely sequelae of a previous vascular insult. Periventricular white matter hyperintense signal on the T2 Weighted images would represent gliotic changes. Resultant mild dilatation of the atrium and posterior body of the left lateral ventricle is noted.
Ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the periventricular white matter in the right frontal and right posterior parietal regions and in the right corona radiata, most likely represent ischemic lesions.
Lacunar infarcts are noted in the pons on the left and in the right lentiform nucleus.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight 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.
Inflammatory changes are noted in the right maxillary antrum.
1. Altered signal in the posterior parietal periventricular white matter on the left represents an area of cystic encephalomalacia with perilesional gliosis, most likely a sequelae of previous vascular insult.
2. Altered signal in the periventricular white matter in the right frontal and right posterior parietal regions and in the right corona radiata, most likely represent ischemic lesions.
3. Lacunar infarcts in the pons on the left and in the right lentiform nucleus.