Finding MRI examination of the brain without contrast and MRI Tof

MRI examination of the brain without contrast and MRI Tof
Created multiplanar MRI with sequences T1W, T2W, FLAIR, DWI, GRE
- On the left thalamus appears hyperintense lesions rounded-edge hipointens in T1W T2W, the GRE apparent hemosiderin rim.
- In the nucleus lentiformis left right, left right thalamus and right paramedian pontine lesions appear small hipointens in T1W, hyperintense on FLAIR and T2W
- In paraventrikuler frontal lobe white matter lesions appear right hipointens in T1W and hyperintense on T2W, FLAIR and DWI slightly restricted on.
- Corticales sulci and fissures normal left-right sylvii
- Differentiation normal white matter gray.
- Left and right lateral ventricle, III and IV normal
- Invisible midline shifting.
- Sisterna basal and normal perimesensefalic
- Sella normal tursika and cerebellopontine angle.
- Complex nerve II and VII-VIII normal
- Cerebellum seemed normal
- Looks maxillaris sinus mucosal thickening on the right and left, right ethmoidalis left and right frontal left. Osteomeatal complex obliteration seemed right side.
MRA Tof:
- Invisible stenosis in the internal carotid artery were visualized
- Large caliber arterial branching anterior cerebral artery and the media enough. Invisible stenosis and ectasia.
- Caliber system vertebrobasilar and posterior cerebral artery enough. Invisible stenosis and ectasia.
Impression:
- Late subacute intracerebral hemorrhage in the left thalamus.
- Subacute focal white matter infarction in the right frontal lobe paraventrikuler
- Multiple chronic lacunar infarction in the nucleus lentiformis left right, left right thalamus and right paramedian pons.
- MRA ToF: Invisible stenosis in the internal carotid artery were visualized, vertebrobasilar system and large arterial branches of the anterior cerebral artery-posterior-media.
- Ec mucosal thickening in the sinuses sinusitis maxillaris right-left, right ethmoidalis left and right frontal left.

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