sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzKarunaklmn / M / 70 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered behaviour with loss of control over bladder/bowel since 1 month.
Known hypertensive/diabetic. 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.

5 mm thick T1 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are small bright foci on proton, T2 Weighted and FLAIR images in the subcortical white matter in the frontal regions bilaterally. These lesions appear isointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.

Lacunar infarcts are noted in the right lentiform nucleus and in the cerebral hemispheres inferiorly.

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

Susceptibility artifacts are noted in the nasal region.
..2/.







IMPRESSION :

1. Altered signal in the subcortical white matter in the frontal regions bilaterally most likely represents ischemic changes.

2. Lacunar infarcts in the right lentiform nucleus and in the cerebral hemispheres inferiorly.

3. Age related cerebral cortical and cerebellar atrophy.