sb/bv/rg.

Name of the Patient : Abc Xyz lmn / M / 64 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance, slurred speech and diplopia.
Known hypertensive. On Rx. H/S/O pseudobulbar palsy ? vascular.

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.

3 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

There appears to be atrophy of the superior colliculi (scans 106.7, 104.9). No signal change is however, noted in the midbrain.

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the left maxillary antrum.

IMPRESSION :

1. Atrophy of the superior colliculi may be seen with progressive supranuclear palsy.

2. Mild cerebral cortical and cerebellar atrophy.