Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 76 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O diminished vision of both eyes since 1 year.
Known diabetic. On Rx.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and STIR coronal images through the optic nerves.
5 mm thick FLAIR coronal images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
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 basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The optic nerves on either side appear suspiciously smaller in size and show normal signal intensity. The visualized orbits and the perisellar region are unremarkable.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
1. Altered signal in the periventricular white matter bilaterally most likely represent ischemic changes.
2. Mild cerebral atrophy.
3. The optic nerves appear suspiciously smaller in size. Optic atrophy should be ruled out.