Name of the Patient : Abc Xyzadur Vishwaklmn / M / 48 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O inability to speak since 20 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 and Fast Scan (T2 *) coronal images.
A limited 2D Phase contrast Angiographic sequence was also performed.
Areas of hyperintensity on the proton, T2 Weighted and Flair images are seen to involve the gyri in the left frontal lobe, the left corona radiata and left cerebral peduncle. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology. Few hypointense areas are seen within this lesion on the T2 Weighted and Fast Scan (T2 *) images and may represent blood.
A hyperintense signal is seen within the lumen of the cavernous and petrous component of the left internal carotid artery and may represent slow flow/thrombus. The branches of the left middle cerebral artery also appear attenuated.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
- 2 - Scan-00006
The MRI features are suggestive of :
1. Areas of altered signal intensity involving the gyri in the left frontal lobe, the left corona radiata and left cerebral peduncle are most likely ischemic in etiology (with a small hemorrhagic component).
2. Slow flow/thrombus within the lumen of the cavernous and petrous component of the left internal carotid artery.