Date : 00.00.00
Name of the Patient : Abc Xyznath Shlmn / M / 75 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O occasional tinnitus in both ears with hearing loss.
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.
MR cisternogram was obtained in the coronal plane.
There is evidence of an area of hyperintensity on the proton, T2 Weighted and FLAIR images within the left occipital lobe. There is prominence of the adjacent cortical sulci and this lesion would represent gliotic changes (scans 105.1, 102.9, 104.9).
A focus which is near isointense to CSF on all the pulse sequences is seen within the head of the right caudate nucleus and would represent a lacune.
The tip of the odontoid process is oriented more posteriorly.
There is mild fullness of the ventricular system. Also seen is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study. Inflammatory changes are seen in a few mastoid air cells bilaterally.
1. Areas of signal alteration within the left occipital lobe which most likely represent gliotic changes.
2. A lacune within the head of the right caudate nucleus.