hs/sb/nl/nl
Name of the Patient : Abc Xyza Upalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vertigo.
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.
MR cisternogram was obtained in the coronal plane.
OBSERVATION :
Small bright foci on the proton, T2 Weighted and Flair images are seen within the frontal white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
There is fullness of the third and both the lateral ventricles. Also seen is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Hypointense areas on the Fast Scan (T2 *) images are seen within the globus pallidus bilaterally and these most likely represent areas of calcium.
The seventh and eighth cranial nerve complex on either side are unremarkable.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are seen within the mastoid air cells on the right side.
IMPRESSION :
The MRI features are suggestive of small foci of altered signal intensity within the frontal white matter and these are most likely ischemic in etiology.