Date : 00.00.00
Name of the Patient : Abc XyzKalmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O change in voice since 15 days. H/O similar complaints 1 month back for an hour.
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 diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology. Small foci with similar signal characteristics are noted within the pons, corona radiata and lentiform nuclei bilaterally.
Lacunar infarcts (iso to hyperintense to CSF) are seen within the pons, right thalamus and the corona radiata and lentiform nuclei bilaterally.
There is mild fullness of the third and both the lateral ventricles. There is mild 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.
Note is made of a deviated nasal septum to the left side.
The MRI features are suggestive of :
1. Altered signal within the periventricular white matter bilaterally, pons, corona radiata and lentiform nuclei bilaterally would represent ischemic changes.
2. Lacunar infarcts within the pons, right thalamus and the corona radiata and lentiform nuclei bilaterally.