Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / M / 63 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O left sided hemiparesis in February 0000.
C/O slurred speech with gait imbalance since 3-4 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.
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the pons, more to the left of the midline. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and most likely represents an ischemic lesion.
Similar signal intensity changes are noted in the left posterior parietal deep white matter and in the periventricular white matter in the frontal regions bilaterally.
Mild fullness of the third and both the lateral ventricles is noted. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
1. Altered signal in the pons, more to the left of the midline most likely represents an ischemic lesion (? recent).
2. Altered signal in the left posterior parietal deep white matter and in the periventricular white matter in the frontal regions bilaterally also represent ischemic lesions.