Date : 00.00.00
Name of the Patient : Abc Xyzn Malhlmn / M / 71 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tremulousness of the RUE since 4-5 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.
5 mm thick T1 Weighted sagittal images.
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periatrial white matter bilaterally. These are iso to hypointense to the white matter on the T1 Weighted images and are probably ischemic in etiology.
There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is mild fullness of the third and both the lateral ventricles.
The fourth ventricle is normal. 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 pansinusitis.
The MRI features are suggestive of :
1. Altered signal in the periatrial white matter bilaterally which is probably ischemic in etiology.
2. Mild cerebellar and cerebral atrophy.