Orbit Imaging & Pathlab Pvt. Ltd. GNNesur Un eo aKOkes! NAME: MR. AJAYPAL SINGH AGEISEX: | 46Y/MALE “| REF ey DR SK SOGAN bate ([toosanaa | nivesrioanion [wena sno [aes =| IMPRESSION: MR study reveals * Small acute infarct in left half of medulla as described above - Wallenberg syndrome. Chronic ischemic microangiopathic changes Tiny nodular calcified granuloma in left occipital (obe with no perilesional edema, Chronic lacunar infarcts in right thalamus, bilateral basal ganglia and left periventricular region. Please correlate clinically. ) /) —_ fo DR SEMA ALWADHI MD (Radio-Diagnosis) Formerly SPECIALIST PGIMSR & ES! HOSPITAL (DELHI) Beamimer The slence of rales s based upon interpretation of shadows ol nomal and abnormal issue. This i ether complete nor Seat: hence ain shoud aay be nerreted ino height of ence palologcalcarestion. Ths a prolessional open, ta REE Notmennt tor meso legal purpses. Plate Inimatu or any ping mister and end the report for correction within da ‘Main Hub:: B-35, Pusa Road, Opp. Metro Pillar No. 124, Dethi - 110005, Ph : 011-46243301/02/03 OMe awlen ens co Pee en MaseeaCe NUN Oem cor please contact personaly «This report is en for perusal of door. Jagnosed in routine obsetneulrasound «Not included m NABL accrediationo) Orbit Imaging & Pathlab Pyt. Ltd. Pinion cto euro nter NAME: MR. AJAYPAL SINGH AGEISEX: AGYIMALE | REF. BY: DR S K SOGANI DATE | 10.06.2022 INVESTIGATION: MRI-BRAIN SNO | ro226a66 STUDY PROTOCOL: MULTIPLANAR MR IMAGING OF BRAIN WAS DONE ON ST MAGNET USING DEDICATED HEAD COIL. SE, TSE, IR SEQUENCES WERE USED TO OBTAIN T1W, T2W AND FLAIR IMAGES, DWI AND SW IMAGES. FINDINGS: ‘Small area of altered signal intensity is seen in let half of medulla, which is hyperintense on 72/ FLAIR images & shows restriction of restriction of diffusion on DW images with reversal ‘on ADC images. Multiple tiny discrete T2WIFLAIR hyperintensities are seen involving the subcortical, periventricular and deep white matter involving the bilateral frontoparietal region - likely chronic ischemic microangiopathic changes Tiny nodular lesion measuring approx. 2 x 2 mm is seen in left occipital lobe, which show blooming on SW images with no perilesional edema. nsity, which are hypointense on T1/ FLAIR and ‘Small areas of altered signal right thalamus, bilateral basal ganglia and left hyperintense on 12 are seen periventricular. Remaining cerebral parenchyma shows normal MR morphology with maintained grey-white matter differentiation. Remaining ganglio-thalamic region grossly appears normal in MR morphology. Ventricular system is normal in size and position with septum in midline. Major intracranial flow voids appear normal Basal cisterns and sylvian fissures are preserved Sella and parasellar region are normal. Fourth ventricle is normal in size central in position. Both the cerebellar hemispheres and brainstem show normal MR morphology. Cont... Main Hub. 8-35, Puse Road, Opp. Metro Pillar No. 124, Delhi - 110005, Ph : 011-46243301/02/03 PET Rese alen Moum onan ecreensd erp Aca MIs raselt Pn ScAVAOl se Necmokesy Wiest result re unsalsfactory please contact personal» This report is only for perusal of doctors routine obser ulfesound+ Nat inctuded im NABL accrediation, + Not Tor macica legal cas05