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Name of the Patient : Abc Xyza Suwlmn / M / 45 yrs.
Referred by : Dr. Abc XyzVaishnav.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O bronchial asthma.
H/O ? drug reaction 30 days back with skin eruptions since then.
C/O loss of vision since 6 days.

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.

3 mm thick T1 Weighted and STIR coronal images through the optic nerves.

OBSERVATION :

There is a small bright focus on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left frontal region. This lesion appears isointense to normal white matter on the T1 Weighted images.

Prominent perivascular spaces are noted in the posterior parietal regions bilaterally.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is 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.
Scan-00008



The optic nerves on either side show normal signal characteristics.

Inflammatory changes are noted in the ethmoidal air cells bilaterally.

IMPRESSION :

Altered signal in the subcortical white matter in the left frontal region most likely represents an ischemic lesion.

No other significant abnormality is detected on this study.


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