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Name of the Patient : Abc Xyzam Jalmn / M / 56 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with gait ataxia since 00.00.0000.
C/O drowsy state since 2 days.
H/O right sided hemiplegia in May 0000 from which patient had recovered.
Known hypertensive.

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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a linear hypointense signal on the T1 Weighted images in the right external capsular region. This lesion appears hyperintense on the proton and T2 Weighted images and shows a peripheral hypointense rim, better appreciated on the T2 Weighted and Fast Scan (T2 *) images (scans 105.9, 104.9).

A hyperintense focus is seen on the proton, T2 Weighted and Flair images within the right lentiform nucleus, extending into the right corona radiata and right posterior capsular region. This is mildly hypointense on the T1 Weighted images. This may represent gliotic changes, result of the previous bleed.

There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in bilateral fronto-parietal deep white matter. These lesions appear hypointense to normal white matter on the T1 Weighted images.



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

Incidentally noted is a subgaleal lipoma in the left occipital region.

IMPRESSION :

1. Altered signal in the right external capsular region most likely is the sequelae of a previous hematoma in that region, which has now resolved.

2. Altered signal in the periventricular white matter bilaterally and in bilateral fronto-parietal white matter most likely represent ischemic changes.

3. Cerebral cortical atrophy.

4. Areas of altered signal within the right lentiform nucleus extending into the right corona radiata and right posterior capsular region may represent gliotic changes, a result of previous bleed.

As compared to the previous MRI (study no:00003) dated 00.00.00, there is resolution of the previously defined bleed. There is no other significant change on this scan.







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