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Name of the Patient : Abc Xyzas lmn / M / 72 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with giddiness.

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 :

There are small bright foci and ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical and deep white matter in the frontal and parietal regions bilaterally and in the posterior parietal periventricular white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.

Lacunar infarct is noted in the right thalamus.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. The vertebro-basilar system is ectatic.

An empty sella is noted.







Inflammatory changes are noted in the ethmoidal air cells, left frontal and right maxillary sinus.

The cranio-vertebral region is unremarkable.

IMPRESSION :

1. Altered signal in the subcortical and deep white matter in the frontal and parietal regions bilaterally and in the posterior parietal periventricular white matter bilaterally most likely represents ischemic changes.

2. Lacunar infarct in the right thalamus.

3. Mild cerebral and cerebellar atrophy.

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