Date : 00.00.00
Name of the Patient : Abc Xyzant Plmn / M / 39 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O sudden onset of weakness of right half of the body with slurred speech.
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 and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
There is an ill-defined, hyperintense signal on the T1 Weighted images in the pons on the left. This lesion remains hyperintense on the proton, T2 Weighted and Flair images. A peripheral hypointense signal on the Fast Scan (T2 *) images is noted. There is mild perilesional edema.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and Flair images in the left posterior parietal deep white matter and in the fronto-parietal deep white matter bilaterally. These areas are iso to hypointense to normal white matter on the T1 Weighted images.
Lacunar infarct is noted in the right thalamus.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
1. Altered signal in the pons on the left, may represent subacute haemorrhage.
A follow-up scan would be worthwhile to r/o a bleed in a cavernous angioma.
2. Altered signal in the left posterior parietal deep white matter and in the fronto-parietal deep white matter bilaterally may represent ischemic changes.
3. Lacunar infarct in the right thalamus.