Name of the Patient : Abc XyzFernalmn / F / 82 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O RTA on 00.00.0000 with injury to the left leg.
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 ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the right temporal lobe, periventricular white matter bilaterally and in the corona radiata and centrum semiovale. These lesions appear hypointense to normal white matter on the T1 Weighted images and represent ischemic changes.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the pons, in the corona radiata bilaterally and in the right lentiform nucleus.
An old infarct (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) is noted in the right precentral cortex.
There is mild dilatation of both the lateral and third ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
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.
There is no obvious haemorrhage on this study.
Subgaleal hematoma/contusion is noted in the left periorbital and temporal region.
1. Altered signal in the left temporal lobe, periventricular white matter bilaterally and in the corona radiata and centrum semiovale and represent ischemic changes.
2. Lacunar infarcts in the pons, in the corona radiata bilaterally and in the right lentiform nucleus.
3. An old infarct in the right precentral cortex.
4. Mild age related cerebral cortical and cerebellar atrophy.