Name of the Patient : Abc Xyz Palmn / M / 57 yrs.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (left sided) with vomiting since 2 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.
5 mm thick T1 Weighted sagittal images.
MR Cisternogram was obtained in the coronal plane.
Small areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the left para-atrial white matter. These are isointense to hypointense to normal white matter on the T1 Weighted images and these are most likely ischemic in etiology.
Foci with similar signal characteristics are noted within the fronto-parietal white matter bilaterally.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable.
Both the 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.
- 2 - Scan-00000
Inflammatory changes are seen within the mastoid air cells (right more than left), ethmoidal air cells and frontal sinus. A polyp is seen within the left maxillary sinus.
The MRI features are suggestive of :
1. Small areas of altered signal within the left para-atrial white matter which are most likely ischemic in etiology.
2. Inflammatory changes within the mastoid air cells (right more than left), ethmoidal air cells and frontal sinus.
3. A polyp within the left maxillary sinus.