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sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Nlmn / F / 67 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O vertigo, forgetfullness and dizziness since 1 year.

EXAMINATION :

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.

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial images (with magnetization transfer), 3 mm thick T1 coronal images (with magnetization transfer) and 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical and deep white matter in the frontal regions bilaterally. These lesions appears isointense to normal white matter on the T1 Weighted images.

The seventh and eighth cranial nerve complex is unremarkable bilaterally.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, 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.
..2/.






After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma, meninges or along the seventh and eighth cranial nerve complex on either side.

IMPRESSION :

1. Altered signal in the subcortical and deep white matter in the frontal regions bilaterally is most likely ischemic in etiology.

2. Mild cerebral cortical atrophy.
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