Date : 00.00.00
Name of the Patient : Abc XyzWalmn / M / 80 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided hemiplegia with ocular gaze to the right since 9.00 pm of 00.00.00.
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.
SOME IMAGES SHOW PATIENT MOTION.
There is a subtle, ill-defined, hyperintense signal on the T2 Weighted and Flair images in the right insular cortex, posteriorly. This lesion appears nearly isointense to normal grey matter on the T1 Weighted images and most likely represents an ischemic lesion, (? recent).
Ill-defined hyperintense areas on the T2 Weighted and Flair images in the periventricular white matter and in the lentiform nuclei bilaterally most likely represent ischemic changes.
There is mild dilatation of both the lateral ventricles.
The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Intermediate signal is noted in the cavernous segment of the right internal carotid artery which may suggest a thrombus/slow flow.
There is no obvious haemorrhage on this study.
Inflammatory changes are noted in the left maxillary antrum.
1. Altered signal in the right insular cortex, posteriorly most likely represents an ischemic lesion, (? recent).
2. Altered signal in the periventricular white matter and in the lentiform nuclei bilaterally most likely represent ischemic changes.
3. Slow flow/thrombus in the cavernous segment of the right internal carotid artery.