Date : 00.00.00
Name of the Patient : Abc Xyzdas R. Klmn / M / 70 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O progressive left sided hemiparesis since morning of 00.00.00 with slurred speech.
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 right corona radiata, centrum semiovale, right lentiform nucleus, temporal cortex and the right high parietal cortex on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to grey matter on the T1 Weighted images. Similar changes are seen in the left cerebellar hemisphere, left superior cerebellar peduncle and the pons. There is no evidence of haemorrhage.
Lacunar infarcts which are isointense to CSF on all the pulse sequences are seen in bilateral coronal radiata and left centrum semiovale.
An area of cystic encephalomalacia is seen in the left centrum semiovale with surrounding gliotic changes.
There is mild dilatation of both the lateral and third ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
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.
1. Altered signal in the right corona radiata, centrum semiovale, right lentiform nucleus, temporal cortex and the right high parietal cortex, in the pons, left cerebellar hemisphere and left superior cerebellar peduncle are suggestive of areas of ischemia/infarction.
2. Lacunar infarcts in bilateral corona radiata and left centrum semiovale.
3. Area of cystic encephalomalacia in the left centrum semiovale.