sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzn Khandlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known hypertensive, diabetic & alcoholic with H/O right sided seizures on 00.00.00 and speech disturbance.

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 evidence of an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the left posterior parietal cortex. This lesion appears hypointense to normal gray matter on the T1 Weighted images and most likely represents an ischemic lesion. There is no obvious haemorrhage on this study.

There is loss of normal flow void signal in the superior sagittal sinus and transverse and sigmoid sinuses. In place is noted
a hyperintense signal on all pulse sequences suggesting venous sinus thrombosis/slow flow.

Lacunar infarct (iso to hyperintense to CSF) are noted in the right lentiform nucleus extending into the right corona radiata.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is no shift of the midline structures. >

IMPRESSION :

1. Altered signal in the superior sagittal sinus and transverse and sigmoid sinuses suggests venous sinus thrombosis/slow flow.

2. Altered signal along the left posterior parietal cortex
most likely represents an ischemic lesion (most likely a venous infarct).

3. Lacunar infarct in the right lentiform nucleus extending into the right corona radiata.