sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzra M. Slmn / M / 65 yrs.
Referred by : Dr. Abc Xyzheth / Dr. Abc Xyzini.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O diplopia since 3 months.
Known diabetic.
H/O drooping of the right eyelid 6 months back.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

4 mm thick FLAIR coronal images.

3 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is a small hyperintense focus on the proton and T2 Weighted images in the right lentiform nucleus extending into the right corona radiata. This lesion appears hypointense on the T1 Weighted images and most likely represents a lacune.

Prominent perivascular spaces are noted in the posterior parietal periventricular white matter.

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

The normal lens is not seen within both eyes and this may a result of cataract surgery.

The optic nerves show normal signal bilaterally. The cavernous sinuses and visualized orbits are unremarkable.
..2/.





IMPRESSION :

A lacune in the right lentiform nucleus extending into the right corona radiata.

Mild cerebral and cerebellar atrophy.