Date : 00.00.00
Name of the Patient : Abc XyzHathlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness with fall 3-4 episodes since 1 month.
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 T1 Weighted and FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
There is a hypointense area in the left thalamus on the T1 Weighted images which is seen to turn hyperintense on the proton and T2 Weighted images and would represent an area of infarct. Similar, smaller areas are noted in the right thalamus, the left corona radiata posteriorly and in the left cerebellar hemisphere.
Lacunar infarcts which are slightly hyperintense to CSF on all the pulse sequences are seen in the right cerebellar hemisphere, right external capsule and the left lentiform nucleus.
There is agenesis of the corpus callosum.
The lateral ventricles, appear slightly full especially the atrium and occipital horns (colpocephaly) and appear parallel to each other. An interhemispheric cyst is noted. The third ventricle is placed between the lateral ventricles. There is beaking of the tectal plate. There is slight prominence of the cerebral cortical sulci.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.
1. Infarcts in the left thalamus, in the right thalamus, the left corona radiata posteriorly and in the left cerebellar hemisphere.
2. Lacunar infarcts in the right external capsule, the left lentiform nucleus and in the right cerebellar hemisphere, inferiorly.
3. Agenesis of the corpus callosum with an interhemispheric cyst.