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Date : 00.00.00

Name of the Patient : Abc Xyz Galmn / M / 79 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 2 months.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in bilateral centrum semiovale. These lesions appear hypointense on the T1 Weighted images. A smaller lesion is seen in the left cerebellar hemisphere.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the thalami, lentiform nuclei and corona radiata bilaterally.

There is fullness of both the lateral and the third ventricles.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is a dislocated lens in the right eye-ball.


IMPRESSION :

1. Altered signal in the periventricular white matter bilaterally, bilateral centrum semiovale and left cerebellar hemisphere most likely represent ischemic changes.

2. Lacunar infarcts in the thalami, lentiform nuclei and corona radiata bilaterally.

3. Age related cerebral cortical and cerebellar atrophy.

4. Dislocated lens in the right eye-ball.
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