sb/hs/rg
Date : 00.00.00
Name of the Patient : Abc Xyzn Klmn / M / 73 yrs.
Referred by : Dr. Abc XyzNair Hospital).
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O hearing loss with diminished vision of both eyes since 2-3 years.
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.
3 mm thick STIR coronal images through optic nerves.
OBSERVATION :
A lacunar infarct (iso to hyperintense to CSF) is noted in the right thalamus.
The seventh and eighth cranial nerve complex and the optic nerves
are unremarkable on either side.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left middle ear cavity.
IMPRESSION :
1. A lacunar infarct in the right thalamus.
2. Mild age related cerebellar and cerebral cortical atrophy.