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Name of the Patient : Abc Xyzm Mlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O dysarthria.
Known hypertensive.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a hypointense lesion on the T1 Weighted images in the left thalamus which appears hyperintense on the proton and T2 Weighted images but is hypointense on the Flair images. This lesion most likely represents an old ischemic lesion.

Similar signal intensity lesions are noted in the right frontal and parietal deep white matter and in the left lentiform nucleus.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and Flair images in the periventricular white matter bilaterally which most likely represents ischemic changes.

There is mild to moderate dilatation of both the lateral and third ventricles.







The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the 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.

IMPRESSION :

1. Old ischemic lesions (old infarcts) in the left thalamus, in the right frontal and parietal deep white matter and in the left lentiform nucleus.

2. Altered signal in the periventricular white matter bilaterally most likely represents ischemic changes.

3. Mild to moderate dilatation of both the lateral and third ventricles with cerebral atrophy.

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