Date : 00.00.00
Name of the Patient : Abc Xyz S. lmn / M / 75 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in walking, gait ataxia and tremors since 1 month.
To r/o Parkinsons disease.
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.
There are ill-defined hypointense areas on the T1 Weighted images in the periventricular deep white matter, thalami and bilateral corona radiata and centrum semiovale. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and are ischemic in etiology.
Lacunar infarcts (isointense to CSF on all the pulse sequences)
are seen within the lentiform nuclei and thalami bilaterally, pons anteriorly and right cerebellar hemisphere.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. The basal cisternal spaces are prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of right maxillary sinusitis.
1. Areas of altered signal in the periventricular deep white matter, thalami and bilateral corona radiata and centrum semiovale are ischemic in etiology.
2. Lacunar infarcts within the lentiform nuclei and thalami bilaterally, pons anteriorly and right cerebellar hemisphere.
3. Cerebral cortical and cerebellar atrophy.