Date : 00.00.00
Name of the Patient : Abc Xyz Merclmn / M / 67 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tingling on the right half of the body with slurred speech since February 0000.
H/O visual loss of both eyes in 0000. ? operated for the left eye prior to this.
Known diabetic. On Rx.
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 and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
There is a hypointense area in the right thalamus in the parathird ventricular region on the T1 Weighted images. This is seen to be iso to hyperintense to CSF on the proton and T2 Weighted images and represents an old infarct.
Phthisis bulbi is noted bilaterally.
There is moderate dilatation of both the lateral and third ventricles with slight thinning of the corpus callosum. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci. There is prominence of the cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The optic nerves show normal signal intensity on the STIR images bilaterally. However their calibre appears to e decreased suggestive of optic atrophy.
Incidental note is made of right maxillary sinusitis.
The MRI features are suggestive of :
1. An old infarct in the right thalamus as described.
2. Cerebral atrophy.