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sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzhbhai Patlmn / M / 69 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O slurred speech (momentary) with gait imbalance since 2 days.
Known diabetic/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 :

There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the subcortical deep white matter in the frontal and parietal regions bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.

Lacunar infarcts are noted in the head of the right caudate nucleus, left corona radiata and centrum semiovale.

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 and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

There is no evidence of haemorrhage on this study.

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IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the subcortical deep white matter in the frontal and parietal regions bilaterally most likely represent ischemic changes.

2. Lacunar infarcts in the head of the right caudate nucleus, left corona radiata and centrum semiovale.

3. Cerebral cortical atrophy with mild ventricular dilatation.
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