Date : 00.00.00
Name of the Patient : Abc Xyzkumar Kalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzthari.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O twitching of the left eye with numbness over the left cheek since 2 1/2 years.
Now C/O twitching of the right eye since 3 days.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the coronal plane.
A limited MRA (source images) was obtained through the region of interest.
An ill-defined, hyperintense signal on the proton and T2 Weighted images in the right cerebellar hemisphere (hypointense on the T1 Weighted images) inferiorly, may represent an ischemic lesion.
There is a large vascular loop indenting the root exit zone of the left facial nerve.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The MRI features are suggestive of :
1. A vascular loop indenting the root exit zone of the left facial nerve.
2. Altered signal in the right cerebellar hemisphere, inferiorly, may represent an ischemic lesion.