Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 60 yrs.
Referred by : Dr. Abc Xyzadilkar / Dr. Abc Xyzni.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O painless ptosis (right more than left).
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted, T2 Weighted, FLAIR and STIR coronal images.
There is no focal area of altered signal intensity in the brain parenchyma. (The subtle hyperintense signal on the proton images at the ponto-mesencephalic junction just anterior to the aqueduct would represent nuclei of the medial raphe-marked by an arrow).
There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is mild fullness of the third and both the lateral ventricles.
The cavernous sinuses and visualized orbits on either side are unremarkable.
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.
The MRI features are suggestive of mild cerebral and cerebellar atrophy.