ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzndra Jalmn / M / 72 yrs.
Referred by : Dr. Abc Xyzeth.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O numbness in the RUE and RLE since 8-10 days.
Known hypertensive/diabetic.
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.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and Flair images within the pons, periatrial white matter, bilateral corona radiata and centrum semiovale. These are iso to hypointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
Lacunar infarcts (isointense to CSF on all the pulse sequences) are seen within the lentiform nuclei and thalami bilaterally.
There is mild fullness of both the lateral and third ventricles with slight prominence of the cerebral cortical sulci and the cerebellar folia 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.
Incidental note is made of mild maxillary sinusitis.
IMPRESSION :
1. Areas of altered signal within the pons, periatrial white matter, bilateral corona radiata and centrum semiovale are suggestive of areas of ischemia/infarction.
2. Lacunar infarcts within the lentiform nuclei and thalami bilaterally.