Date : 00.00.00
Name of the Patient : Abc XyzKolamlmn / M / 64 yrs.
Referred by : Dr. Abc Xyzndu / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness with incontinence of urine and dysphagia.
Right upper motor neuron facial palsy.
Known hypertensive and diabetic.
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 and Fast Scan (T2 *) coronal images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale.
A lacunar infarct is noted in the left thalamus.
The left cerebral peduncle appears slightly smaller than the right.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the paranasal sinuses bilaterally.
There is no evidence of haemorrhage on this study.
1. Altered signal in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale most likely represent ischemic changes.
2. A lacunar infarct in the left thalamus.
As compared to the previous MRI (study no:00001) dated 00.00.0000, there appears to be slight increase in the white matter ischemic changes on the present study.