hs/ke/rg/nl

Name of the Patient : Abc Xyzadas Ganlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided weakness with slurred speech since 3-4 days.

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 evidence of an area of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the right temporo-occipital lobe. This is seen to involve the cortical gray matter as well as the subcortical white matter with effacement of the adjacent sulci. A small area of hyperintensity on the T1 Weighted images is noted within the lesion and would represent subacute blood. This lesion in toto would represent an infarct with a small haemorrhagic component.

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter bilaterally and these are most likely ischemic in etiology. Small foci with similar signal characteristics are seen within the fronto-parietal white matter bilaterally.

Lacunar infarcts (iso to hyperintense to CSF on all the pulse sequences) are seen within the lentiform nuclei bilaterally.
..2/.







- 2 - Scan-00005


There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

There is mild fullness of both the lateral ventricles. The third and 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.

IMPRESSION :

The MRI features are suggestive of altered signal within the right temporo-occipital lobe as described and would represent an infarct with a small haemorrhagic component.