Date : 00.00.00
Name of the Patient : Abc XyzBagayalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O right sided opthalmoplegia 2 months back.
C/O left hemiparesis since 2 days. Also C/O drooping of the right eye with diplopia since 2 months.
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 is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right paraatrial region, right frontal periventricular and deep white matter, right corona radiata, right high parietal, parafalcine cortex and in the splenium of the corpus callosum on the right. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic lesions.
There is a wedge shaped CSF signal intensity lesion on all the pulse sequences in the left cerebellar hemisphere, inferiorly. Perilesional hyperintense signal may represent gliotic changes.
There is mild fullness of both the lateral ventricles. 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.
1. Altered signal in the right paraatrial region, right frontal periventricular and deep white matter, right corona radiata, right high parietal parafalcine cortex, in the splenium of the corpus callosum on the right are most likely represents ischemic lesions, probably recent in the given clinical setting.
2. Area of cystic encephalomalacia in the left cerebellar hemisphere, inferiorly is most likely the sequelae of previous vascular insult.
As compared to the previous MRI dated 00.00.00, the lesions in the right cerebral hemisphere are recent lesions and were not identified on the previous study.