ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzati Kanlmn / F / 68 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O paresthesias in the LUE and left side of the face.
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 and Gradient coronal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter. These are iso to hypointense to normal white matter on the T1 Weighted images and are ischemic in etiology.
A smaller similar area is seen in the right cerebellar hemisphere on the FLAIR images (scan 105.6) and in the lentiform nuclei bilaterally.
Prominent perivascular spaces seen in the lentiform nuclei bilaterally and the frontal deep white matter bilaterally. Small area of gliosis is seen in the left frontal region. A hypointense focus seen on the Fast Scan (T2 *) images in the left lentiform nucleus represents calcification.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is no evidence of haemorrhage on this study.
..2/.
- 2 - Scan-00009
IMPRESSION :
The MRI features are suggestive of areas of altered signal in the periventricular deep white matter, lentiform nuclei and right cerebellar hemisphere represent ischemic changes.