hs/ke/nl/rg.
Name of the Patient : Abc Xyzlmn / M / 85 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O semiconscious state and breathlessness since 1 day.
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.
A limited phase contrast MRA was also obtained.
OBSERVATION :
There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the periventricular and fronto-parietal white matter bilaterally and these are most likely ischemic in etiology.
Lacunar infarcts (iso to hyperintense to CSF) are seen within the lentiform nuclei bilaterally.
There is slight prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal.
The visualized internal carotid artery and the vertebral and basilar arteries are unremarkable.
Scan-00005
There is no shift of the midline structures.
Inflammatory changes are seen within both maxillary sinuses. Air fluid levels are seen within both maxillary sinuses (? blood ? inflammatory changes).
The lens in the eyeballs are absent bilaterally, ? post-operative.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the periventricular and fronto-parietal white matter bilaterally and these are most likely ischemic in etiology.
2. Lacunar infarcts within the lentiform nuclei bilaterally.