sb/hs/rg.

Name of the Patient : Abc Xyzrinath Jaglmn / M / 63 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait ataxia since 8-10 months.

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 coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons and in the subcortical white matter in the left frontal and right temporo-parietal regions. These are isointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the left thalamus, right corona radiata and the frontal and parietal deep white matter bilaterally.

There is mild fullness of both the lateral and the third 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.

Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells.
>

IMPRESSION :

1. Altered signal in the pons and in the subcortical white matter in the left frontal and right temporo-parietal regions most likely represent ischemic changes.

2. Lacunar infarcts in the left thalamus, right corona radiata and the frontal and parietal deep white matter bilaterally.