Date : 00.00.00
Name of the Patient : Abc Xyz Tavlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzukar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (in occipital region) with tingling sensation and occasional giddiness 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 coronal images.
There is evidence of a small bright area on the proton, T2 Weighted and FLAIR images within the left frontal white matter. This is iso to hypointense to normal white matter on the T1 Weighted images and is most likely ischemic in etiology.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of both the lateral ventricles. The third and the fourth ventricles are 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 cervical spine was screened with 4 mm thick T2 Weighted sagittal images. Posteriorly bulging discs with peridiscal osteophytes are seen to indent the cord at the C5-C6 and C6-C7 levels. The spinal canal at these levels is tight and a dedicated study of the cervical spine would be worthwhile, if clinically indicated.
The MRI features are suggestive of an area of altered signal intensity within the left frontal white matter and is most likely ischemic in etiology.