ke/bv/rg.
/9
Name of the Patient : Abc Xyz lmn / M / 59 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Brain.
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 and Fast Scan (T2 *) coronal images.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There are small hypointense areas in the right corona radiata which are seen to follow CSF signal characteristics on all the pulse sequences and represent lacunar infarcts. Hyperintense areas on the proton, T2 Weighted and FLAIR images which are hypointense to the white matter on the T1 Weighted images would represent areas of gliosis. There is localized ex-vacuo dilatation of the body of the right lateral ventricle.
The seventh and eighth cranial nerve complex on either side is unremarkable.
There is blunting of the right cerebral peduncle suggestive of Wallerian degeneration.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, Sylvian fissure and cerebellar folia bilaterally. 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 evidence of any haemorrhage on this study.
..2/.
- 2 - Scan-00008
IMPRESSION :
The MRI features are suggestive of :
1. Lacunar infarct in the right corona radiata with surrounding
gliotic changes.
2. Mild cerebral and cerebellar atrophy.