Date : 00.00.00
Name of the Patient : Abc Xyzbai Suterlmn / F / 76 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O pain on the right side of the face.
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.
Subtle areas of hyperintensity on the proton, T2 Weighted and FLAIR images (iso to hypointense to normal white matter on the T1 Weighted images) are seen within the pons, left lentiform nucleus, thalamus bilaterally and the fronto-parietal and periatrial white matter bilaterally. These are most likely ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci bilaterally. Also seen is mild prominence of the cerebellar folia bilaterally.
Punctate signal voids vascular loops are seen adjacent to the cisternal components of both trigeminal nerves. However there is no deformity of the root entry zones of these nerves bilaterally.
Prominent perivascular spaces are seen within both cerebral hemispheres.
The fourth ventricle is normal. There is no shift of the midline structures.
Incidental note is made of pansinusitis.
The MRI features are suggestive of :
1. Areas of altered signal intensity within the pons, left lentiform nucleus, thalamus bilaterally and the fronto-parietal and periatrial white matter bilaterally and these are most likely ischemic in etiology.
2. Small vascular loops adjacent to the cisternal components of both trigeminal nerves without deforming the same.