Name of the Patient : Abc Xyz D. Vlmn / M / 67 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of right half of the body with slurred speech since 1 day.
H/O similar complaints 10 years back from which patient recovered completely.
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.
There are ill-defined, hyperintense areas best appreciated on the Flair images in the right occipital cortex. These areas appear isointense to normal grey matter on the T1 Weighted images and most likely represent ischemic changes (? recent).
Ill-defined, hyperintense areas on the proton, T2 Weighted and Flair images in the posterior parietal periventricular white matter on the left may also represent ischemic changes.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. The vertebro-basilar system is ectatic.
There is no evidence of haemorrhage on this study.
Inflammatory changes are noted in the right ethmoidal air cells.
1. Altered signal in the right occipital cortex most likely represent ischemic changes (most likely recent).
2. Altered signal in the posterior parietal periventricular white matter on the left may also represent ischemic changes.