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Name of the Patient : Abc XyzN. Maylmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.


C/O gait imbalance, slurred speech and diminished vision.
Known hypertensive.


M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.


There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the fronto-parietal subcortical white matter. These are isointense to the normal white matter on the T1 Weighted images and are probably ischemic in etiology.

There is prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle. The ventral pontine bulge and olivary bulges are maintained.

The optic nerves show normal signal intensity on the STIR images, bilaterally.

There is slight fullness of both the lateral ventricles with mild prominence of the cerebral cortical sulci.

The third 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 inflammatory changes in the right maxillary sinus and sphenoid sinus.


1. Altered signal in the fronto-parietal subcortical white matter is probably ischemic in etiology.

2. Cerebellar atrophy.
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