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hs/ke/nl/nl

Name of the Patient : Abc Xyz Salmn / F / 39 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O paresthesias on the right side of body since 6.00 am of 00.00.0000.

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 is a subtle area of hyperintensity on the proton, T2 Weighted and FLAIR images within the thalamus and globus pallidus on the left side. This most likely represents a recent area of ischemia/infarction.

An area of hypointensity on the T1 Weighed images which turns hyperintense on the proton, T2 Weighted and FLAIR images is seen within the putamen and extending into the corona radiata on the left side and is most likely ischemic in etiology.

Foci with similar signal characteristics are noted within the frontal white matter bilaterally and are most likely ischemic in etiology.

There is mild prominence of the cerebral cortical sulci bilaterally.

There is ectasia of the vertebro-basilar system with indentation upon the pons.



Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

IMPRESSION :

The MRI features are suggestive of :

1. A subtle area of altered signal within the thalamus and globus pallidus on the left side most likely represents a recent area of ischemia/infarction.

2. Areas of altered signal within the putamen and extending into the corona radiata on the left side is most likely ischemic in etiology.

3. Foci of altered signal within the frontal white matter bilaterally are most likely ischemic in etiology.




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