Name of the Patient : Abc XyzPlmn / M / 49 yrs.
Referred by : Dr. Abc Xyz Shetty.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness, speech disturbances, difficulty in swallowing and disorientation.
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.
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the pons, centrally and on either side of the midline. This lesion appears iso to slightly hypointense to normal white matter on the T1 Weighted images and most likely represents an ischemic lesion, most likely recent in the given clinical setting.
A lacune (iso to hyperintense to CSF) is noted in the left putamen.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
An intraluminal signal is noted in the right vertebral and basilar artery, which may suggest slow flow/thrombus.
Inflammatory changes are noted in the left maxillary antrum with a mucous retention cyst.
1. Altered signal in the pons, as described, most likely represents a recent ischemic lesion in the given clinical setting.
2. A lacune in the left putamen.
3. Intraluminal signal in the right vertebral and basilar artery may suggest slow flow/thrombus.