Name of the Patient : Abc XyzWalmn / M / 80 yrs.
Referred by : Dr. Abc Xyz Mehta / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O slurred speech with left sided weakness since 00.00.0000.
Similar complaints 1 week ago.
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 hyperintense signal on the proton, T2 Weighted and Flair images in the right insular cortex, posterior and superior to it. This lesion appears near isointense to normal grey matter on the T1 Weighted images and most likely represents an infarct.
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.
1. Altered signal in the right insular cortex, posterior and superior to it most likely represents an infarct.
2. Altered signal in the periventricular white matter and in the lentiform nuclei bilaterally most likely represents ischemic changes.
3. Slow flow/thrombus in the cavernous segment of the right internal carotid artery.
As compared to the previous MRI (study no:00007) dated 00.00.00, there is a slight increase in the size of the infarct in the right insular cortex.