Date : 00.00.00
Name of the Patient : Abc Xyzen Blmn / F / 77 yrs.
Referred by : Dr. Abc Xyza / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered sensorium since 15 days.
Known hypertensive. On Rx.
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.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
Diffuse, irregularly-defined areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are most likely ischemic in etiology.
Smaller areas with similar signal characteristics are noted within the medulla, pons and the thalami, lentiform nuclei and head of the caudate nuclei bilaterally.
Lacunar infarcts are seen within the pons.
Dilated perivascular spaces are seen within the lentiform nucleii bilaterally.
- 2 - Scan-00005
There is mild fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally.
The vertebro-basilar system is ectatic.
Note is made of a giant cisterna magna.
The fourth ventricle is normal. There is no shift of the midline structures.
No extracerebral collection is noted on this study.
The MRI features are suggestive of :
1. Altered signal within the periventricular white matter, corona radiata, medulla, pons, thalami, lentiform nuclei and head of the caudate nuclei and centrum semiovale bilaterally are most likely ischemic in etiology.
2. Cerebral and cerebellar atrophy.