Date : 00.00.00
Name of the Patient : Abc Xyz D. Pandhilmn / M / 41 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever with chills on 00.00.00 with giddiness, numbness on the left half of the body, headaches and change in voice since 00.00.00.
C/O right sided hemiparesis in 0000.
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 are hyperintense areas located in the medulla on the right side (scans 103.3, 102.3, 104.3) on the T2 Weighted, FLAIR and proton density images. This area appears isointense on the T1 Weighted images.
There are lacunar infarcts (isointense to CSF on all the pulse sequences) in the pons, bilateral lentiform nuclei and corona radiata. Hyperintense areas on the proton, T2 Weighted and FLAIR images in the corona radiata bilaterally adjacent to the lacunar infarcts would represent areas of gliosis.
There is mild dilatation of the ventricular system. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
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 thickening of the mucosa in the maxillary sinuses bilaterally.
1. Right lateral medullary infarct.
2. Lacunar infarcts in the pons, bilateral lentiform nuclei and corona radiata with gliotic changes in the corona radiata bilaterally.
3. Cerebral and cerebellar atrophy.