Name of the Patient : Abc Xyzana Dhulmn / F / 60 yrs.
Referred by : Dr. Abc Xyzurya.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since January 0000.
C/O forgetfulness and generalized weakness all over the body since 15 days.
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.
FEW IMAGES SHOW PATIENT MOTION.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and Flair images in the periventricular white matter bilaterally and in the subcortical white matter in the fronto-temporo-parietal lobes bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the right thalamus, right posterior parietal periventricular white matter, right para-atrial region and in the left lentiform nucleus.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no midline shift. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary sinuses bilaterally.
1. Altered signal in the periventricular white matter bilaterally and in the subcortical white matter in the fronto-temporo-parietal lobes bilaterally most likely represents ischemic changes.
2. Lacunar infarcts in the right thalamus, right posterior parietal periventricular white matter, right para-atrial region and in the left lentiform nucleus.
3. Cerebral and cerebellar atrophy.