Date : 00.00.00
Name of the Patient : Abc Xyzen Palmn / F / 60 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left facial paresis with weakness of the LUE since 00.00.00.
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.
MR cisternogram was obtained in the coronal plane.
An ill-defined hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the right posterior parietal deep white matter. This lesion appears hypointense to normal white matter on the T1 Weighted images. A similar but smaller lesion is noted in the subcortical white matter in the left posterior parietal region (scan 103.11).
The seventh and eighth cranial nerve complex are unremarkable on either side.
The superior cerebellar cistern appears slightly prominent, (?? due to a small arachnoid cyst).
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and rest of the basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the right maxillary antrum and right frontal sinus.
A subgaleal lipoma is noted in the left frontal region.
1. Altered signal in the right posterior parietal deep white matter and in the subcortical white matter in the left posterior parietal region most likely represents ischemic changes.
2. Mild cerebral and cerebellar atrophy.
3. A suspicious arachnoid cyst in the superior cerebellar cistern.