Date : 00.00.00
Name of the Patient : Abc Xyzhai lmn / M / 74 yrs.
Referred by : Dr. Abc Xyzhacker / Dr. Abc Xyzmpat /
Dr. Abc Xyzapadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided weakness.
H/O fever since 3 days.
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 T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter and the centrum semiovale bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are probably ischemic in etiology.
A lacunar infarct (isointense to CSF on all the pulse sequences) is noted in the left thalamus.
The hippocampal complex on either side is unremarkable.
There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. Mild prominence of the cerebral cortical sulci and cerebellar folia is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The right MCA is ectatic. The internal carotid artery on the right side and the right MCA appear slightly prominent as compared to the left.
Incidental note is made of inflammatory changes in the sphenoid sinus and the right frontal sinus.
The MRI features are suggestive of :
1. Areas of altered signal in the periventricular deep white matter and the centrum semiovale bilaterally are probably ischemic in etiology.
2. A lacunar infarct in the left thalamus.