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Name of the Patient : Abc Xyz Klmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O unsteadiness of gait, slowness in walking and slurred speech since 2 years.

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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images within the pons, fronto-parietal and periventricular
white matter and the bilateral corona radiata and centrum semiovale. These are hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

Lacunar infarcts (which are isointense to hyperintense to CSF on all the pulse sequences) are noted within the pons, on the left side, medial temporal lobes bilaterally, bilateral thalami, right corona radiata, genu of the corpus callosum on the left side and bilateral lentiform nuclei.

Fullness of the ventricular system is noted with 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.
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- 2 - Scan-00005


IMPRESSION :

The MRI features are suggestive of :

1. Areas of altered signal within the pons, fronto-parietal and periventricular white matter and the bilateral corona radiata and centrum semiovale and these are most likely ischemic in etiology.

2. Lacunar infarcts within the pons on the left side, medial temporal lobes bilaterally, bilateral thalami, right corona radiata, genu of the corpus callosum on the left side and bilateral lentiform nuclei.

3. Mild cerebral and cerebellar atrophy.

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