sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi Merclmn / F / 79 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O inability to talk since 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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a subtle, ill-defined, hyperintense signal, best appreciated on the FLAIR images in the left insular cortex. This lesion appears near isointense to normal gray matter on the T1 Weighted images.

Ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images are noted in the posterior parietal periventricular white matter bilaterally.

Small bright foci on the proton, T2 Weighted and FLAIR images are noted in the subcortical white matter in the fronto-parietal regions bilaterally.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the right cerebellar hemisphere, inferiorly.

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 cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
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Susceptibility artifacts are noted in the region of the right maxillary sinus.

There is no obvious evidence of haemorrhage on this study.

Incidentally noted are multiple hypointense lesions on all pulse sequences in the scalp (? fibromas).

IMPRESSION :

1. Subtle altered signal in the left insular cortex most likely is a recent ischemic lesion in the given clinical setting.

2. Altered signal in the posterior parietal periventricular white matter bilaterally and in the subcortical white matter in the fronto-parietal regions bilaterally most likely represents ischemic changes.

3. Lacunar infarcts in the right cerebellar hemisphere, inferiorly.