Name of the Patient : Abc Xyzben Kalmn / F / 85 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Sudden H/O disorientation.
Known hypertensive. On Rx.
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.
There are diffuse, ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter, lentiform nuclei and centrum semiovale bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images.
Subtle hyperintense areas are also seen on the proton, T2 Weighted and FLAIR images in the pons and thalami bilaterally. These are isointense to the white matter on the T1 Weighted images and are probably ischemic in etiology.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidentally noted is an empty sella.
1. Altered signal in the periventricular white matter bilaterally and in the lentiform nuclei and centrum semiovale bilaterally most likely represent ischemic changes. Binswangers disease should be ruled out.
2. Areas of ischemia in the pons and bilateral thalami.
3. Age related cerebral cortical atrophy with ventricular dilatation.