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Date : 00.00.00

Name of the Patient : Abc Xyzben Chhlmn / F / 75 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis on 00.00.00.

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 Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and Flair images in the right high fronto-parietal, parafalcine region. This lesion appears hypointense to normal white matter on the T1 Weighted images. There is resultant effacement of the sulcal spaces in that region.

A similar signal intensity lesion is noted in the left corona radiata.

Lacunar infarcts are noted in the head of the left caudate nucleus, posterior parietal deep white matter bilaterally and in the right periatrial region.

Ill-defined hyperintense signal on the proton, T2 Weighted and Flair images in the posterior parietal periventricular white matter bilaterally and in the pons on the left most likely represent ischemic changes.







There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci bilaterally. 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 obvious haemorrhage on this study.

Incidentally noted is an empty sella.

IMPRESSION :

1. Altered signal in the right high fronto-parietal, parafalcine region most likely represents a recent ischemic lesion along the distribution of the right anterior cerebral artery.

2. An ischemic lesion, probably recent, in the left corona radiata.

3. Lacunar infarcts in the head of the left caudate nucleus, posterior parietal deep white matter bilaterally and in the right periatrial region.

4. Altered signal in the posterior parietal periventricular white matter bilaterally and in the pons on the left most likely represent ischemic changes.


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