ke/sb/rg/nl

Name of the Patient : Abc Xyzen J. lmn / F / 60 yrs.
Referred by : Dr. Abc Xyzsani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain in the lower jaw radiating to neck and ear on the left side since 15 days with difficulty in chewing and swallowing liquids.
Known hypertensive. On Rx.

EXAMINATION :

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 coronal images.

Limited MRA was obtained using 3D TOF sequence in the axial and coronal planes.

OBSERVATION :

There are small, hyperintense areas on the proton and T2 Weighted images in the subcortical white matter in the left frontal region and in the posterior parietal regions bilaterally which most likely represent ischemic changes.

The seventh and eighth cranial nerve complex on either side is unremarkable.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study. There is no vascular loop at the root entry zone of the trigeminal nerves on either side.
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Incidental note is made of mild inflammatory changes in the ethmoidal air cells.

IMPRESSION :

Altered signal in the subcortical white matter in the left frontal region and in the posterior parietal regions bilaterally most likely represents ischemic changes.

No obvious vascular loop is noted at the root entry zone of the trigeminal nerves on either side.