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sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz R.lmn / M / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O increased blood pressure with gait ataxia and giddiness since 3-4 days.
Known hypertensive.

EXAMINATION :

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.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally. These lesions appear isointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.

Lacunar infarcts are noted in the right periatrial region, bilateral thalami and lentiform nuclei/external capsular region.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci bilaterally. There is a mega cisterna magna and prominence of the rest of the basal cisternal spaces bilaterally.




- 2 - Scan-00006



There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the left maxillary sinus.

IMPRESSION :

1. Altered signal in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally most likely represents ischemic changes. Binswangers disease should be ruled out.

2. Lacunar infarcts in the right periatrial region, bilateral thalami and lentiform nuclei/external capsular region.


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