Date : 00.00.00
Name of the Patient : Abc Xyzlal lmn / M / 78 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O slight weakness of the right side of body with giddiness since 1 day
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.
There are areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter and white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
Lacunar infarcts (iso to hyperintense to CSF) are seen within the head of the caudate nucleus and corona radiata on the left side.
There is mild fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci bilaterally.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Polyps are seen within the maxillary sinuses bilaterally.
The MRI features are suggestive of :
1. Areas of altered signal intensity within the periventricular white matter and white matter in the fronto-parietal lobes bilaterally and these are most likely ischemic in etiology.
2. Lacunar infarcts within the head of the caudate nucleus and corona radiata on the left side.