Date : 00.00.00
Name of the Patient : Abc Xyz Glmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O behavioural disturbances since 4 years.
C/O gait ataxia on the left side since 1 year.
C/O inability to pass urine since 2 days.
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.
3 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
Hyperintense foci on the proton, T2 Weighted and FLAIR images are noted within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
A lacunar infarct (hyperintense to CSF) is seen in the left thalamus.
There is prominence of the cerebellar folia and cerebral cortical sulci bilaterally.
There is fullness of the third and both the lateral ventricles.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
A subgaleal lipoma is noted in the left frontal region.
The MRI features are suggestive of :
1. Foci of altered signal intensity within the white matter in the fronto-parietal lobes bilaterally are most likely ischemic in etiology.
2. Lacunar infarct within the left thalamus.