Date : 00.00.00
Name of the Patient : Abc Xyzra lmn / M / 51 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O CRF.
C/O tremors of the LUE with generalized weakness 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 coronal images.
3 mm thick T2 Weighted coronal images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally. These areas appear iso to hypointense to normal white matter on the T1 Weighted images.
The hippocampal complex is unremarkable on either side.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight 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.
Inflammatory changes are noted in the sphenoid sinus on the left.
1. Altered signal in the periventricular white matter bilaterally most likely represents ischemic changes.
2. Mild cerebral cortical and cerebellar atrophy.