Date : 00.00.00
Name of the Patient : Abc XyzGopaslmn / F / 90 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness and vomiting since the evening of 00.00.00.
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.
5 mm thick T1 Weighted sagittal images.
IMAGES SHOW PATIENT MOTION.
There is an ill-defined hypointense area on the T1 Weighted images in the right cerebellar hemisphere and right middle cerebellar peduncle. This is seen to turn hypointense on the proton and T2 Weighted images. Few streaks are seen to bloom on the Fast Scan (T2 *) images. There is mass effect with indentation upon the right lateral aspect of the fourth ventricle. There is mild perilesional edema. There is probable extension into the fourth ventricle.
Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen in the periventricular white matter and bilateral corona radiata and centrum semiovale. These are hypointense to white matter on the T1 Weighted images.
There is mild dilatation of both the lateral and third ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is ectasia of the vertebro-basilar system.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The MRI features are suggestive of :
1. An acute bleed in the right cerebellar hemisphere and right middle cerebellar peduncle.
2. Altered signal in the periventricular white matter and bilateral corona radiata and centrum semiovale which may be ischemic in etiology.
3. Age related cerebral and cerebellar atrophy.