sb/hs/rg/nl
Name of the Patient : Abc Xyzicholas Almn / M / 64 yrs.
Referred by : Dr. Abc Xyzvale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided weakness with slurred speech since 00.00.0000.
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.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the head of the left caudate nucleus , left lentiform nucleus and left anterior capsular region extending into the left corona radiata. This lesion appears hypointense to normal white matter on the T1 Weighted images and represents an ischemic lesion, most likely recent, in the given clinical setting.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the pons on the left and posteriorly, in the thalami bilaterally, both lentiform nuclei, right corona radiata and in the left centrum semiovale.
There is mild dilatation of both the lateral, third and the fourth ventricles. There is slight prominence of the cerebral cortical sulci, cerebellar folia and 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 haemorrhage on this study.
Pansinusitis is noted.
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IMPRESSION :
1. Altered signal in the head of the left caudate nucleus, left lentiform nucleus and left anterior capsular region extending into the left corona radiata represents an ischemic lesion, most likely recent, in the given clinical setting.
2. Lacunar infarcts in the pons on the left and posteriorly, in the thalami bilaterally, both lentiform nuclei, right corona radiata and in the left centrum semiovale.
3. Age related cerebral cortical and cerebellar cortical atrophy.