Name of the Patient : Abc XyzKlmn / F / 78 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden loss of consciousness at 6.00 pm on 00.00.0000.
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.
There is a hyperintense area on the FLAIR images within the right occipital lobe (se/im:108/3) and this may represent an area of ischemia/infarction.
Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
A lacunar infarct (iso to hyperintense to CSF) is seen within the left thalamus.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of the third and both the lateral ventricles.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pansinusitis.
The MRI features are suggestive of :
1. An area of altered signal within the right occipital lobe may represent an area of ischemia/infarction.
2. Areas of altered signal intensity within the periventricular white matter, corona radiata and centrum semiovale bilaterally and these are most likely ischemic in etiology.
3. A lacunar infarct within the left thalamus.