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Date : 00.00.00

Name of the Patient : Abc XyzEngilmn / M / 76 yrs.
Referred by : Dr. Abc Xyzka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait ataxia with forgetfulness since 1 year.
Known hypertensive.

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 coronal images.

OBSERVATION :

There are hypointense areas in the pons, bilateral thalami, lentiform nuclei, corona radiata and the right frontal deep white matter on the T1 Weighted images which are seen to turn hyperintense on the proton and T2 Weighted images and represent lacunar infarcts.

Hyperintense areas are seen in the periventricular deep white matter especially in the posterior parietal region on the proton, T2 Weighted and FLAIR images and these are iso to hypointense to normal white matter on the T1 Weighted images and represent areas of ischemia/infarction.

There is mild dilatation of both the lateral and third ventricles with slight fullness of the fourth ventricle. Prominence of the cerebral cortical sulci and cerebellar folia is noted. The basal cisternal spaces are prominent. A mega cisterna magna is noted. The vertebro-basilar system is ectatic.





There is no shift of the midline structures.

Incidental note is made of mucosal thickening in the left maxillary sinus and absence of lens bilaterally, the result of previous surgery.

IMPRESSION :

1. Lacunar infarcts in the pons, bilateral thalami, lentiform nuclei, corona radiata and the right frontal deep white matter.

2. Areas of altered signal in the periventricular deep white matter especially in the posterior parietal region represent areas of ischemia/infarction.


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