sb/ke/nl/nl

Name of the Patient : Abc Xyzlmn / F / 53 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided weakness since 2 days.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton, T2 Weighted and FLAIR axial images.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an ill-defined hyperintense signal on the proton, T2 Weighted and Flair images in the left high fronto-parietal, parafalcine cortex. This lesion appears nearly isointense to normal grey matter on the T1 Weighted images and represents an ischemic lesion, most likely recent, in the given clinical setting.

There is an ill-defined, hypointense signal on the T1 Weighted images in the left posterior parietal periventricular white matter. This lesion appears hyperintense on the proton T2 Weighted and Flair images. Resultant mild fullness of the posterior body of the left lateral ventricle is noted. This may represent old ischemic lesion.

There are small bright foci on the proton, T2 Weighted and Flair images in the right periatrial posterior parietal periventricular white matter and right centrum semiovale. These lesions appear isointense to normal white matter on the T1 Weighted images. Similar areas are seen in the pons.




The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is an empty sella.

IMPRESSION :

1. Altered signal in the left high fronto-parietal, parafalcine cortex represents an ischemic lesion, most likely recent, in the given clinical setting.

2. Altered signal in the left posterior parietal periventricular white matter represents an old ischemic lesion.

3. Small bright foci on the proton, T2 Weighted and Flair images in the right periatrial and posterior parietal periventricular white matter, right centrum semiovale and pons also represents ischemic lesions.