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hs/sb/rg/nl

Name of the Patient : Abc Xyzha Prabhudlmn / F/ 59 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O Parkinsons disease.
Alleged H/O gait imbalance with fall and injury to the right side of the face and nasal bleeding 2 days back.

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 proton and T2 Weighted axial images through the region of interest.

3 mm thick T1 Weighted sagittal images through the region of interest.

3 mm thick proton density coronal images through the region of interest.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

Burr holes are noted in the high fronto-parietal regions bilaterally.

Areas which are hyperintense to CSF on all the pulse sequences are seen within the globus pallidus bilaterally and these may be the result of previous stereotactic surgery. Tracts with similar signal characteristics are seen to course through the corona radiata and centrum semiovale bilaterally.
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- 2 - Scan-00006


There are small bright foci on the proton, T2 Weighted and FLAIR images within the white matter and in the frontal lobes, bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and these are most likely ischemic in etiology.

There is fullness of both the lateral ventricles, right more than left with bulging of the septum pellucidum to the left (? normal variant). Also seen is mild fullness of the fourth and third ventricles.

There is mild 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.

A depressed fracture of the anterior wall of the right maxillary antrum is noted with fluid level and soft tissue swelling over the right cheek, most likely is due to previous trauma.

IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. Altered signal within the globus pallidus bilaterally
are most likely the result of previous surgery.

3. Depressed fracture of the anterior wall of the right maxillary antrum with fluid level most likely due to previous trauma.





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