Name of the Patient : Abc Xyzji lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzabhat / Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness on the right side of body 4 days back.
C/O speech disturbance 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 coronal images.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
There is a large, hypointense area on the T1 Weighted images in the pons anteriorly and on the left side. This is seen to turn hyperintense on the proton, T2 Weighted and Flair images.
Subtle hyperintense areas are seen in the frontal and parietal and periventricular deep white matter on the proton, T2 Weighted and Flair images which are probably ischemic in etiology.
There is slight fullness of both the lateral ventricles. There is mild prominence of the cerberal cortical sulci.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
1. A large area of altered signal in the pons anteriorly and on the left side is most likely ischemic in etiology. The possibility of a demyelinating lesion is less likely.
2. Altered signal in the frontal and parietal and periventricular deep white matter is probably ischemic in etiology.