Date : 00.00.00
Name of the Patient : Abc XyzShlmn / F / 55 yrs.
Referred by : Dr. Abc Xyztcheswala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O psychosis since 4 years.
C/O deviation of mouth towards right with watering of the right eye since 8 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 coronal images.
5 mm thick T1 Weighted sagittal images.
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the frontal lobes bilaterally. These are slightly hypointense to white matter on the T1 Weighted images. There is dilatation of the frontal horn of both the lateral ventricles and prominence of the cerebral sulci in that region. The CSF spaces in this region are markedly prominent.
Similar areas are seen in the temporal lobes bilaterally, (left more than right) with dilatation of the temporal horns of the lateral ventricles. Both temporal lobes appear more atrophic as compared to the generalized brain atrophy. The hippocampus also appears smaller bilaterally.
The 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.
Incidental note is made of bilateral maxillary sinusitis and inflammatory changes in the ethmoidal air cells.
The MRI features are suggestive of altered signal with atrophy in the frontal and temporal lobes as described suggesting a neurodegenerative disorder.
Alzheimers disease is a likely possibility.