Name of the Patient : Abc Xyzhara Viclmn / F / 42 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness with slurred speech.
H/O similar complaints 1 year ago.
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.
5 mm thick T1 Weighted sagittal images.
There are multiple, small bright areas on the proton, T2 Weighted and FLAIR images within the fronto-parietal white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images. Similar ill-defined areas are noted in the posterior parietal periventricular white matter bilaterally.
Hyperintense areas on the T1 Weighted images are seen within the lentiform nuclei and cerebral peduncles bilaterally.
Both the lateral and third ventricles appear chinky. 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 right maxillary antrum, right frontal sinus and in the right ethmoidal air cells.
The MRI features are suggestive of :
1. Small areas of altered signal within the fronto-parietal white matter and posterior parietal, periventricular white matter bilaterally and these may be ischemic in etiology (?? demyelination).
2. Hyperintense areas on the T1 Weighted images within the lentiform nuclei and cerebral peduncles bilaterally may represent deposition of paramagnetic substances (? hepato-cerebral syndrome).