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sb/ke/nl/rg.

Name of the Patient : Abc Xyzn Ranglmn / F / 70 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the RUE and slurred speech since the morning of 00.00.0000.

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.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and Flair images in the subcortical and deep white matter in the frontal and parietal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

Both the lateral, 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.

Incidentally noted is a cavum septum pellucidum and cavum vergae. Inflammatory changes are noted in the right mastoid air cells.

There is no obvious haemorrhage on this study.

IMPRESSION :

Altered signal in the subcortical and deep white matter in the frontal and parietal regions bilaterally most likely represent ischemic changes.




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