Date : 00.00.00
Name of the Patient : Abc XyzP. Shlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzhetty / Dr. Abc Xyz Raut.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O loss of vision of the right eye since 0000.
C/O diminished vision of the left eye since July 0000.
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.
3 mm thick T1 Weighted and STIR coronal images through the orbits.
There is a small bright focus on the proton, T2 Weighted and FLAIR images in the periventricular white matter in the left frontal region. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images (scans 106.7-8, 105.14).
A small, extra-axial, CSF intensity lesion on all the pulse sequences is noted in the right paramedullary cistern which most likely represents an arachnoid cyst.
Both the lateral, third and the fourth ventricles are normal. The rest of the basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The left optic nerve shows normal signal intensity. The right optic nerve appears smaller in calibre when compared to the left with a prominent perioptic CSF sheath. No obvious mass lesion is identified in visualized orbits on either side.
1. Altered signal in the periventricular white matter in the left frontal region may represent an ischemic focus.
2. A small arachnoid cyst in the right paramedullary cistern.
3. Right optic nerve atrophy with normal signal of the left optic nerve.