Date : 00.00.00
Name of the Patient : Abc Xyzondhallmn / M / 46 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O Car accident in March 0000 with injury over the eyes and multiple surface injuries.
C/O tremors in BUE, dribbing of saliva, difficulty in swallowing and speech disturbances and gait ataxia, since 2 months.
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 and Fast Scan (T2 *) coronal images.
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild fullness of both the lateral and fourth ventricles.
The third ventricle is normal. There is slight prominence of the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Susceptibility artifacts are noted in the left maxillary sinus.
Mild fullness of both the lateral and fourth ventricles with
slight prominence of the basal cisternal spaces bilaterally.