Name of the Patient : Abc Xyzabai Chlmn / F / 85 yrs.
Referred by : Dr. Abc Xyzvale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness on the left side since 10-12 days.
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.
Lacunar infarcts (isointense to hyperintense to CSF) are noted in the thalami bilaterally, right posterior capsular region and in the right corona radiata.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the left cerebellar hemisphere, pons, right fronto-parietal deep white matter and left frontal periventricular white matter.
There is mild dilatation of both the lateral, third and fourth ventricles. 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.
Nearly symmetric, hypointense signal, best appreciated on the Fast Scan (T2 *) images in the lentiform nuclei bilaterally would represent calcification.
1. Lacunar infarcts in the thalami bilaterally, right posterior capsular region and in the right corona radiata.
2. Altered signal in the left cerebellar hemisphere, pons, right fronto-parietal deep white matter and left frontal periventricular white matter most likely represent ischemic changes.
3. Age related cerebral and cerebellar atrophy.