Date : 00.00.00
Name of the Patient : Abc Xyzand S. lmn / M / 72 yrs.
Referred by : Dr. Abc Xyzkdawala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness with depression since many years with forgetfulness and altered sensorium since 2 years.
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 hyperintense areas in the periventricular deep white matter and the head of the caudate nucleus on the left side on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to normal white matter on the T1 Weighted images and would represent ischemic changes.
Lacunar infarcts are seen in the caudate nucleus on the left side.
There are prominent perivascular spaces in bilateral lentiform nuclei and left corona radiata.
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 more marked in the temporal regions bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary sinusitis.
- 2 - Scan-00002
The MRI features are suggestive of :
1. Cerebral atrophy, more marked in both temporal lobes. The possibility of Alzheimers disease should be excluded clinically.
2. Altered signal in the periventricular deep white matter and the head of the caudate nucleus on the left side would represent ischemic changes.
3. Lacunar infarcts in the caudate nucleus on the left side.