Date : 00.00.00
Name of the Patient : Abc Xyzod Balmn / M / 59 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia with slurred speech.
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.
There are hypointense areas on the T1 Weighted images in the left lentiform nucleus, corona radiata, centrum semiovale and left posterior parieto-occipital region which are seen to follow CSF signal intensity characteristics on all the pulse sequences and would represent lacunar infarcts. Hyperintense areas on the proton, T2 Weighted and FLAIR images at the periphery of these lesions are iso to hypointense to white matter on the T1 Weighted images and would represent areas of gliosis.
A small hyperintense area is seen in the anterior aspect of the pons, on the left side on the proton, T2 Weighted and Flair images. This is hypointense to the white matter on the T1 Weighted images and is probably ischemic in etiology.
There is slight fullness of both the lateral ventricles (left more than right) with mild prominence of the cerebral cortical sulci. The 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.
Incidental note is made of inflammatory changes in the ethmoidal air cells and sphenoid sinus.
1. Lacunar infarcts with perilesional gliosis in the left lentiform nucleus, corona radiata, centrum semiovale and left posterior parieto-occipital region, the sequelae of previous vascular insult.
2. An area of altered signal in the anterior aspect of the pons, on the left side is probably ischemic in etiology.