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sb/bv/rg.

Name of the Patient : Abc Xyzla K. Mahadlmn / F / 78 yrs.
Referred by : Dr. Abc Xyzarikh.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, speech disturbances and altered behaviour since 1 day.
Known hypertensive. On Rx.

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 coronal images.

OBSERVATION :

Lacunar infarcts are noted in the cerebellar hemispheres bilaterally.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the right cerebellar hemisphere, posterior parietal periventricular white matter and in the periatrial white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.

There is mild dilatation of both the lateral ventricles, right more than left. 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.

Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally. The right eyeball appear elongated.
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IMPRESSION :

1. Lacunar infarcts in the cerebellar hemispheres bilaterally.

2. Altered signal in the right cerebellar hemisphere, posterior parietal periventricular white matter and in the periatrial white matter bilaterally most likely represent ischemic changes.

3. Mild cerebral and cerebellar atrophy.


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