ke/sb/rg/nl

Name of the Patient : Abc Xyzt Glmn / M / 82 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right hemiparesis since 1 day.
Known diabetic and hypertensive.

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.

OBSERVATION :

There is thickening of the gyri in the left temporo-parieto-occipital and the left frontal regions which appear hypointense to normal gray matter on the T1 Weighted images. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. Similar areas are seen in the head of the caudate nucleus and the putamen on the left side. There is mass effect with effacement of the adjacent sulci and indentation upon the body of the left lateral ventricle. These lesions are suggestive of areas of fresh infarct.

Hyperintense areas are seen on the proton, T2 Weighted and FLAIR images in the periventricular white matter, right thalamus and the right corona radiata. These are hypointense to white matter on the T1 Weighted images and are ischemic in etiology.

There is mild dilatation of the right lateral ventricle.

The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci in the right fronto-parietal region.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.




- 2 - Scan-00007


There is no evidence of haemorrhage on this study.

Incidental note is made of bilateral mastoiditis.

IMPRESSION :

1. Altered signal in the left temporo-parieto-occipital and the left frontal regions, in the head of the caudate nucleus and the putamen on the left side is suggestive of areas of fresh infarct.

2. Areas of altered signal in the periventricular white matter, right thalamus and the right corona radiata are ischemic in etiology.

3. Mild age related cerebral atrophy.

4. Bilateral mastoiditis.