ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn lmn / M / 52 yrs.
Referred by : Dr. Abc Xyzichgar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall with LOC at 8.00 P.M. on 00.00.00.
C/O seizures (2 episodes) since then.
Known 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 coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hypointense area on the T1 Weighted images in the left posterior parietal periatrial deep white matter. This is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. Subtle altered signal is noted in the adjacent grey matter. There is ex-vacuo dilatation of the body of the left lateral ventricle (scans 105.5-13, 103.13-17, 102.13-17, 104.13-17)

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is mild prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of inflammatory changes in the right maxillary sinus, ethmoidal air cells and frontal sinus.

There is no evidence of any extracerebral collection on this study.
..2/.




- 2 - Scan-00003


Slow flow is noted in transverse and sigmoid sinuses.

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal in the left posterior parietal periatrial deep white matter represents gliosis, most likely the result
of previous vascular insult.

2. Cerebral atrophy.