Date : 00.00.00
Name of the Patient : Abc XyzWaralmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzadhan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O schizophrenia with Parkinsonism since 0000.
C/O gait imbalance since 2 months.
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.
There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left posterior parietal and right frontal regions. These appear isointense to normal white matter on the T1 Weighted images.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight 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.
Inflammatory changes are noted in the sphenoid sinus.
1. Altered signal in the subcortical white matter in the left posterior parietal and right frontal regions most likely represent ischemic changes.
2. Mild cerebral and cerebellar atrophy.