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Name of the Patient : Abc XyzBlmn / F / 63 yrs.
Referred by : Dr. Abc Xyzenoy.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of giddiness with vomiting lasting for 1 day.

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.

MR cisternogram in the coronal plane.

OBSERVATION :

There are small bright foci on the proton, T2 Weighted and Flair images in the frontal deep white matter bilaterally. These are isointense to white matter on the T1 Weighted images and are ischemic in etiology (scans 105.17/18, 103.11, 102.11).

There is slight fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci.

The seventh and eighth cranial nerve complex on either side is unremarkable.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Altered signal in the frontal deep white matter bilaterally are most likely ischemic in etiology.

2. Mild cerebral atrophy.
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