Name of the Patient : Abc Xyzram Zlmn / M / 65 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
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 7 mm thick Fast Scan (T2 *) coronal images.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
2.5 mm thick T1 Weighted coronal images through the region interest.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the fronto-parietal white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.
Bilaterally symmetrical hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted and FLAIR images are seen in the globus pallidi and may represent gliotic changes.
- 2 - Scan-00005
Prominent perivascular spaces are seen in both cerebral hemispheres.
After administration of contrast, there is no area of abnormal enhancement in the brain parenchyma or along the meninges.
There is mild fullness of both the lateral ventricles. The third and fourth ventricles are normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The hippocampal complex on either side is unremarkable.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this scan.
Incidental note is made of inflammatory changes in the left mastoid air cells.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal in the fronto-parietal white matter bilaterally are most probably ischemic in etiology.
2. Altered signal in the globus pallidi bilaterally may represent gliotic changes.
3. Mild cerebral and cerebellar atrophy.