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ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 79 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O drowsiness and altered behaviour since 3-4 days.
Known diabetic/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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the right lentiform nucleus extending into the right corona radiata, periventricular deep white matter, left corona radiata and centrum semiovale. These are hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction. Similar area is noted in the left thalamus.

A lacunar infarct, which is isointense to CSF on all the pulse sequences is seen in the left lentiform nucleus and left corona radiata.

There is no evidence of haemorrhage on this study.

There is mild dilatation of both the lateral and third ventricles. There is prominence of the cerebral cortical sulci and the cerebellar folia bilaterally.




The fourth ventricle is normal. The basal cisternal spaces are prominent. There is no shift of the midline structures. The vertebro-basilar system is ectatic with indentation on the left antero-lateral aspect of the medulla.

Incidentally noted is an empty sella.

IMPRESSION :

1. Areas of altered signal in the right lentiform nucleus extending into the right corona radiata, periventricular deep white matter, left corona radiata, centrum semiovale and in the left thalamus suggest areas of ischemia/infarction.

2. A lacunar infarct in the left lentiform nucleus and left corona radiata.

3. Cerebral atrophy.

As compared to the previous MRI (study no:00003) dated 00.00.00, there is no significant change noted.












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