Name of the Patient : Abc Xyzti J. Panclmn / F / 68 yrs.
Referred by : Dr. Abc Xyza J. Mistry / Dr. Abc XyzBR>
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O mild dementia.
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.
FEW IMAGES SHOW PATIENT MOTION.
Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology. Smaller areas with similar signal characteristics are seen within the pons.
There is mild dilatation of the third and both the lateral ventricles. Also seen is mild prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally.
Prominent perivascular spaces are noted within the lentiform nuclei bilaterally.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The MRI features are suggestive of :
1. Areas of altered signal intensity within the periventricular white matter bilaterally and pons are most likely ischemic in etiology.
2. Mild dilatation of the third and both the lateral ventricles which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be exlcuded.