ke/sb/rg/nl

Name of the Patient : Abc Xyzta Devllmn / F / 68 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O diminished vision in the left eye with giddiness and gait imbalance since 6 months.

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 coronal images.

3 mm thick STIR coronal images.

OBSERVATION :

There are hyperintense areas on the proton and T2 Weighted images in the fronto-parietal and the periatrial subcortical and deep white matter. These are isointense to the normal white matter on the T1 Weighted images and are probably ischemic in etiology.

The optic nerves show normal signal intensity on the STIR images, bilaterally.

The superior surface of the pituitary gland is convex however it does not show presence of any obvious mass lesion.

There is mild fullness of both the lateral ventricles with prominence of the cerebral cortical sulci in the left parieto-occiptal lobe and cerebellar folia bilaterally.

The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
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- 2 - Scan-00008


Incidental note is made of mild inflammatory changes in the ethmoidal air cells and the maxillary sinus.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of altered signal in the fronto-parietal and the periatrial subcortical and deep white matter which are probably ischemic in etiology.

2. Cerebral and cerebellar atrophy.