hs/sb/rg/nl

Name of the Patient : Abc Xyzingh Parlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O diabetic and CRF (detected recently).
C/O breathlessness, vomiting and slight slurred speech.

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.

OBSERVATION :

There are multiple areas of hyperintensity on the proton, T2 Weighted and FLAIR images within both cerebellar hemispheres, pons and right occipital lobes adjacent to the right occipital horn. These are iso to hypointense to normal gray matter on the T1 Weighted images and most likely represent recent areas of ischemia/infarction.

Subtle areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter and these are most likely ischemic in etiology.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is mild prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
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IMPRESSION :

The MRI features are suggestive of altered signal within
both cerebellar hemispheres, pons and right occipital lobe adjacent to the right occipital horn which most likely represent recent areas of ischemia/infarction.