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ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh lmn / M / 35 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, vomiting and occasional diplopia since 1 month.
H/O similar complaints in 0000. Recovered.

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 coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hypointense areas in the left cerebellar hemisphere posteriorly, right cerebellar hemisphere and the susperior vermis on the right side. These are seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas are noted at the periphery of these lesions on the proton, T2 Weighted and FLAIR images which are hypointense to the white matter on the T1 Weighted images and would represent areas of gliosis. These lesions would represent old infarcts with cystic encephalomalacic changes.

Both the lateral, 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.

IMPRESSION :

Old infarcts with cystic encephalomalacic changes in the left cerebellar hemisphere posteriorly, right cerebellar hemisphere and the susperior vermis on the right side.

As compared to the previous MRI dated 00.00.00, there is no significant change noted.
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