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hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 62 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the right half of the body with paresthesias since morning of 00.00.00.
Known diabetic.

EXAMINATION :

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.

3 mm thick FLAIR coronal images.

OBSERVATION :

There is a subtle area of increased signal intensity on the proton, T2 Weighted and FLAIR images within the thalamus on the left side (se/im 102/11, 103/11, 105/11). This is mildly hypointense on the T1 Weighted images and is most likely ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF on all the pulse sequences) are seen within the head of the right caudate nucleus and within the right lentiform nucleus.

There is mild fullness of both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.






The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. An altered signal within the thalamus on the left side and this is most likely ischemic in etiology.

2. Lacunar infarcts within the head of the right caudate nucleus and within the right lentiform nucleus.


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