Date : 00.00.00
Name of the Patient : Abc XyzRlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of the Internal Auditory Meatus.
CLINICAL PROFILE :
C/O tinnitus with decreased hearing on the right side since 1 year.
M.R.I of the internal auditory meatus was performed using the following parameters :
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the axial and coronal planes.
The brain was screened with 5 mm thick T2 Weighted axial images.
There are small bright foci on the T2 Weighted images within the right lentiform nucleus and periatrial white matter and fronto-parietal white matter bilaterally and these are most likely ischemic in etiology.
There is mild prominence of the cerebral cortical sulci bilaterally. The ventricular system is unremarkable.
Prominent perivascular spaces are seen within the lentiform nuclei bilaterally.
The seventh and eighth cranial nerve complex on either side is unremarkable. Cochlea, semicircular canals and vestibule are also unremarkable. No obvious increased fluid is noted in the region of the inner ear structures.
The MRI features are suggestive of :
1. Small foci of altered signal intensity in the right lentiform nuclei and periatrial white matter and fronto-parietal white matter bilaterally are most likely ischemic in etiology.
2. No abnormality is detected in the region of the internal auditory meatus on this study. If clinically indicated a contrast enhanced study may be worthwhile.