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sb/bv/rg.

Name of the Patient : Abc XyzAnlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O mental retardation with seizures.
C/O progressive weakness of the LLE with bladder incontinence since January 0000.
H/O encephalitis at the age of 5 years.

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 :

Lacunar infarcts are noted in the lentiform nuclei and corona radiata bilaterally and in the head of the right caudate nucleus.

There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale and in the pons.

There is mild to moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-17-24

IMPRESSION :

1. Lacunar infarcts in the lentiform nuclei and corona radiata bilaterally and in the head of the right caudate nucleus.

2. Altered signal in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale and in the pons most likely represents ischemic changes.

3. Mild to moderate dilatation of both the lateral and the third ventricles.

4. Mild cerebral cortical and cerebellar atrophy.

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