Date : 00.00.00
Name of the Patient : Abc Xyzddin Shlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O dysarthria since 2-3 days.
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 posterior parietal periventricular white matter bilaterally, in the bilateral centrum semiovale and in the left frontal deep white matter. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is a hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally extending into the cerebral peduncles bilaterally. This signal appears isointense to normal brain parenchyma on the proton, T2 Weighted and FLAIR images.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are 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 maxillary sinuses and ethmoidal air cells bilaterally.
1. Altered signal in the posterior parietal periventricular white matter bilaterally, in the bilateral centrum semiovale and in the left frontal deep white matter most likely represent ischemic lesions.
2. Altered signal in the globus pallidus bilaterally extending into the cerebral peduncles bilaterally suggest paramagnetic substance deposition. Such changes are seen in hepato-cerebral syndromes.