Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzh Shah / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O paresthesias in the left half of the body since 2 days.
Alleged H/O fall 8 days ago.
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 evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the FLAIR, proton and T2 Weighted images within the right thalamus. This may represent a fresh area of ischemia/infarction.
Multiple areas of hyperintensity on the FLAIR, proton and T2 Weighted images are seen within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
A lacunar infarct (isointense to hyperintense to CSF) is seen within the left lentiform nucleus.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Both the lateral, 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.
The MRI features are suggestive of :
1. An area of altered signal intensity within the right thalamus would most likely represent a fresh area of ischemia/infarction.
2. Multiple areas of altered signal intensity within the white matter in the fronto-parietal lobes bilaterally are most likely ischemic in etiology.
3. A lacunar infarct in the left lentiform nucleus.