Date : 00.00.00
Name of the Patient : Abc Xyziben Sollmn / F / 84 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Patient is in semiconscious state since 1 day.
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.
5 mm thick T1 Weighted sagittal images.
Irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the pons, corona radiata, centrum semiovale and periventricular white matter bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology. Small areas with similar signal characteristics are noted within the thalamus and lentiform nuclei bilaterally.
Lacunar infarcts (iso to hyperintense to CSF) are noted within the pons, both lentiform nuclei and left thalamus.
There is fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces.
Note is made of an empty sella.
There is ectasia of the vertebro-basilar system. There is no shift of the midline structures.
A polyp is seen in the sphenoid sinus. Inflammatory changes are noted within the ethmoidal air cells.
The normal lens are not visualized, consistent with previous cataract surgery.
The MRI features are suggestive of :
1. Areas of altered signal intensity within the pons, corona radiata, centrum semiovale, periventricular white matter bilaterally, in the thalamus and lentiform nuclei bilaterally.
2. Lacunar infarcts within the pons, both lentiform nuclei and left thalamus.
3. Age related cerebral atrophy.