Name of the Patient : Abc Xyzajwalmn / F / 69 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided hemiplegia.
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.
There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and Flair images in the left cerebellar hemisphere and is most likely ischemic in etiology.
Smaller areas with similar signal characteristics are noted within the frontal and periventricular white matter bilaterally and these are also most likely ischemic in etiology.
Lacunar infarcts (iso to hyperintense to CSF) are seen within the lentiform nucleus and thalamus on the left side.
There is absence of the normal flow void signal within the intracranial internal carotid artery on the right side and this may represent slow flow/thrombus.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
1. Altered signal in the left cerebellar hemisphere is most likely ischemic in etiology.
2. Lacunar infarcts within the lentiform nucleus and thalamus on the left side.
3. Slow flow/thrombus within the intracranial internal carotid artery on the right side.