Name of the Patient : Abc Xyzalmn / M / 54 yrs.
Referred by : Dr. Abc Xyzarikh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance and slurred speech since 1 month.
H/O burr hole tapping done for subdural hematoma in 0000.
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.
There is loss of volume in the right temporal region with crowding of the sulci. Hyperintense areas are seen on the proton, T2 Weighted and FLAIR images in the right temporal region which suggests encephalomalacic changes, the result of previous contusion/vascular insult.
There is prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. The brainstem is unremarkable. There is fullness of both the lateral and the third ventricles.
Bone defect is noted in the right frontal region, the result of previous surgery.
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.
Note is made of right maxillary sinusitis.
1. Altered signal in the right temporal region represents
encephalomalacic changes, the result of previous contusion/vascular insult.
2. Cerebral and cerebellar atrophy.