Date : 00.00.00
Name of the Patient : Abc Xyz S. Plmn / M / 68 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the LLE with paresthesias since 00.00.00 from which patient has recovered.
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.
There are hyperintense areas on the proton, T2 Weighted and FLAIR images within the pons, centrally and in the superior portion of the pons at its junction with the midbrain. This is iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
A subtle hyperintense signal is seen in the left lentiform nucleus on the FLAIR images (se/im 105/12). This is hypointense to normal white matter on the T1 Weighted images and would represent an area of infarction.
Periventricular and right centrum semiovale hyperintense areas on the proton, T2 Weighted and FLAIR images are probably ischemic in etiology.
There is asymmetric fullness of the left lateral ventricle as compared to the right, a normal variant.
The third and the fourth ventricles are normal. There is prominence of the cerebellar folia bilaterally. 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 right maxillary sinusitis and inflammatory changes in the ethmoidal air cells and frontal sinus.
The MRI features are suggestive of :
1. Altered signal within the pons, centrally and in the superior portion of the pons at its junction with the midbrain is suggestive of areas of ischemia/infarction.
2. Altered signal in the left lentiform nucleus would represent area of infarction.
3. Ischemic changes in the periventricular white matter and right centrum semiovale.