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ke/hs/nl/nl

Name of the Patient : Abc XyzL. Bhlmn / M / 84 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis with dysarthria on 00.00.0000.
For follow-up.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hyperintense area on the proton, T2 Weighted and FLAIR images within the left lentiform nucleus extending into the left corona radiata and which most likely represents an area of ischemia/infarction.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the right corona radiata, genu of the right internal capsule, in the left lentiform nucleus and in the left external capsular region.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periventricular white matter, in the right frontal region and in the subcortical white matter in the fronto-parietal regions bilaterally which most likely represent ischemic changes.



- 2 - Scan-00005



A hypointense focus, more pronounced on the Fast Scan (T2 *) images in the right lentiform nucleus may represent calcification.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is 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.

There is no obvious evidence of haemorrhage on this study.

IMPRESSION :

1. Altered signal in the left lentiform nucleus extending into the left corona radiata which most likely represents an area of ischemia/infarction.

2. Lacunar infarcts in the right corona radiata, genu of the right internal capsule, in the left lentiform nucleus and in the left external capsular region.

3. Altered signal in the pons, periventricular white matter, in the right frontal region and in the subcortical white matter in the fronto-parietal regions bilaterally most likely represent ischemic changes.

4. Mild age related cerebral and cerebellar atrophy.

As compared to the previous MRI (study no:00000) dated 00.00.0000, there is no significant change.


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