Date : 00.00.00
Name of the Patient : Abc Xyz Tanalmn / M / 61 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzr.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour since 8 days.
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.
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
There is a hyperintense area on the proton, T2 Weighted and FLAIR images in the right paraatrial deep white matter. This is isointense to the white matter on the T1 Weighted images (scans 106.5, 103.13, 102.13).
Similar areas are also seen in the left paraatrial deep white matter and in the pons.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. Mild prominence of the cerebral cortical sulci and cerebellar folia is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of bilateral maxillary sinusitis and mucosal thickening in the ethmoidal air cells and the frontal sinus.
1. Altered signal in the paraatrial deep white matter bilaterally and in the pons is probably ischemic in etiology.
2. Age related cerebral and cerebellar atrophy.