sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzti Chlmn / F / 80 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O progressive dementia with memory impairment.
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.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the periventricular white matter, subcortical white matter in the frontal regions and in the centrum semiovale bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci (more marked in both temporal lobes), cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Altered signal in the periventricular white matter, subcortical white matter in the frontal regions and in the centrum semiovale bilaterally most likely represents ischemic changes.
2. Cerebral and cerebellar atrophy.