Name of the Patient : Abc Xyzrlal Kalmn / M / 54 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness, drowsiness and slurred speech.
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.
There is a cystic area on the T1 Weighted images in the left external capsule which is seen to turn hyperintense on the proton and T2 Weighted images. There is a surrounding gliotic reaction on the T2 Weighted and FLAIR images and would represent an area of cystic encephalomalacia.
Small hypointense areas are seen in the globus pallidus bilaterally, in the right posterior parietal region and both frontal regions on the proton and T2 Weighted images. These are hypointense on the T1 Weighted images and are probably ischemic in etiology.
Prominent perivascular spaces are seen in the lentiform nucleus, corona radiata and centrum semiovale bilaterally.
There is fullness of both the lateral and third ventricles with prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The fourth ventricle is 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. An area of cystic encephalomalacia in the left external capsule.
2. Altered signal in the globus pallidus bilaterally, in the right posterior parietal region and both frontal regions
are probably ischemic in etiology.
3. Cerebral and cerebellar atrophy.