Date : 00.00.00
Name of the Patient : Abc Xyzen Turalmn / F / 62 yrs.
Referred by : Dr. Abc Xyzdakia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tinnitus on the right side with decreased hearing.
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.
MR cisternogram was obtained in the coronal and axial planes.
There are small bright foci on the proton, T2 Weighted and FLAIR images within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
The right lateral ventricle is prominent as compared to the left side and this may be a normal variant.
There is herniation of the suprasellar cistern into the sella with inferior displacement of the pituitary gland. The sella is increased in size. The stalk of the pituitary gland is seen till its attachment and this would suggest an empty sella. The stalk shows a slight shift to the right side.
There is mild prominence of the cerebral cortical sulci bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable.
The third and the fourth ventricles are normal. No obvious vascular anomaly is identified on this study.
The MRI features are suggestive of :
1. Foci of altered signal within the white matter in the fronto-parietal lobes bilaterally and these are most likely ischemic in etiology.
2. An empty sella.
If clinically indicated a contrast enhanced study may be worthwhile.