Name of the Patient : Abc Xyz Plmn / M / 73 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O left hemiplegia 4 years back.
C/O left hemiplegia, slurred speech and altered consciousness
since 3-4 days with bladder/bowel involvement since 1 day.
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.
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the frontal parietal and the periventricular deep white matter. These are hypointense to the white matter on the T1 Weighted images and are ischemic in etiology. Similar areas are also seen in the pons.
Lacunar infarcts are noted in the head of the caudate nucleus and the lentiform nucleus bilaterally and the right thalamus.
Mild to moderate dilatation of both the lateral ventricles is seen with fullness of the third and the fourth ventricles. There is mild prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic. Note is made of thickening of the wall of the left vertebral artery and basilar artery with slow flow ? atherosclerotic changes.
There is no evidence of haemorrhage on this study.
- 2 - Scan-00006
1. Areas of altered signal in the frontal parietal and the periventricular deep white matter and in the pons are ischemic in etiology.
2. Lacunar infarcts in the head of the caudate nucleus and the lentiform nucleus bilaterally and the right thalamus.
3. Cerebral atrophy.