MRN/PIN: G-2-51386 / 2310-01-149615

Mr. Muhammad Siddique

Age/Gender: 64 yr(s) / M
CNIC/PP No:
Ref.By: Dr. Haroon Ansar
Ref.No:
Nishtar Road, Near Nishtar Hospital,Multan​ UAN: 051 111 000 432, 03 111 000 432
Visit Date.: 23-Oct-2023 12:21PM Final Report Report Date: 24-Oct-2023 4:17PM

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CT BRAIN WITH CONTRAST

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CLINICAL INDICATION: C/O vertigo and 2 episodes of fall, associated with hypertensive emergency 1

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month ago

TECHNIQUE: 2.0 mm reconstructed images from a scan performed on multi slice CT scan reviewed on

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workstation using different window and level settings. Pre and post-contrast CT scan brain is performed
according to departmental protocol.

FINDINGS:
On
A small hypodense area with internal CSF density is noted in right ganglionic region extending in
right external capsule -- likely suggestive of chronic infarct. No associated mass effect is noted.
Another small wedge-shaped hypodense area is noted in left cerebellar hemisphere, suggestive of
old infarct.
Small chronic lacunar infarcts are noted in left ganglionic region.
Mild confluent and few discrete hypodensities are noted in bilateral periventricular and deep
cerebral white matter.
There is no intracranial hemorrhage, edema, mass effect or midline shift.
Sulcal-gyral pattern is normal (for the age of patient).
Grey white matter differentiation is normal.
The ventricles are normal in size.
There is no extra axial fluid collection.
The sella and pineal region shows no significant abnormality.
On post contrast: There is no abnormal leptomeningeal or significant brain parenchymal enhancement. No
enhancing brain lesion seen.
There is no tonsillar herniation.
Craniovertebral junction is normal.
Deflected nasal septum is noted towards left side.
Mild mucosal thickening is noted in left maxillary sinus and bilateral ethmoidal air cells.
Bilateral orbits, rest of the para nasal sinuses and mastoid air cells are unremarkable.
Osseous structures do not show any significant abnormality.

IMPRESSION:

Ø Chronic infarcts in right capsulo-ganglionic region and left cerebellar hemisphere

Ø Chronic small vessel ischemic changes
Ø No intracranial hemorrhage, edema, mass effect
Ø No abnormal leptomeningeal or brain parenchymal enhancement

Medical Transcript; Rukhsana Islam

Note: This is digitally verified report and does not require manual signature.

Printed By: SYSTEM @ 24-Oct-2023 09:00:27 PM

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 MRN/PIN: G-2-51386 / 2310-01-149615
Mr. Muhammad Siddique
Age/Gender: 64 yr(s) / M
CNIC/PP No:
Ref.By: Dr. Haroon Ansar
Ref.No:
Nishtar Road, Near Nishtar Hospital,Multan​ UAN: 051 111 000 432, 03 111 000 432
Visit Date.: 23-Oct-2023 12:21PM Final Report Report Date: 24-Oct-2023 4:17PM

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op
Dr. Sana Tajammal
Associate Consultant Radiologist
MBBS,FCPS

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For referring physician and or to furnish a second opinion, hard copy images have been handed over to the patient. Radiology image
interpretation may vary from radiologists to radiologist. Repeat study with variable radiation dose, position, contrast or additional viewing on
other modality before and after clinical correlation may be needed. for any query or confusion, don't hesitate to contact our reporting doctor

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or diagnostic center.

On

Note: This is digitally verified report and does not require manual signature. This is digitally verified report and does not
Printed By: SYSTEM @ 24-Oct-2023 09:00:27 PM require manual signature.

Page 2 of 2
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