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Name of the Patient : Abc Xyz Jalmn / M / 56 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O Parkinsonism and hypertension.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton and T2 Weighted images in the right frontal deep white matter. This lesion is nearly isointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Susceptibility artifacts are noted in the region of the maxillary sinuses, ? due to dental fillings.

Inflammatory changes are noted in the ethmoidal air cells and left frontal sinus.

IMPRESSION :

Altered signal in the right frontal deep white matter most likely represents ischemic changes.