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sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPlmn / M / 61 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 4 months.
H/O right hemiparesis 5 years ago. Recovered completely.
Known hypertensive. On Rx.

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 coronal images.

OBSERVATION :

A lacunar infarct is noted in the left lentiform nucleus extending into the left corona radiata. Perilesional white matter hyperintense signal on the T2 Weighted and FLAIR images would represent gliotic changes.

There is CSF intensity lesion on all pulse sequences in the left paramedullary cistern most likely represents an arachnoid cyst.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the frontal and ethmoidal air cells bilaterally.
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- 2 - Scan-00000


IMPRESSION :

1. A lacunar infarct in the left lentiform nucleus extending into the left corona radiata with perilesional gliotic changes.

2. CSF intensity lesion in the left paramedullary cistern most likely represents an arachnoid cyst.

3. Age related cerebral cortical and cerebellar atrophy.

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