RI of brain was obtained in multiple planes using...

RI of brain was obtained in multiple planes using T1 weighted spin echo, T2 weighted fast spin echo sequences. T2Waxial brain images with 3D Fiesta for cranial nerves.Observations:Multiple T2/FLAIR hyperintensities are seen in bilateral periventricular and frontoparietal subcortical white matter. Norestricted diffusion. No blooming on gradient images.No area of altered signal intensity is seen in the cerebral parenchyma, brainstem and cerebellum.Ventricles, sulci and cisterns are normal in size \T\ symmetry.Both C.P. angles and 7th \T\ 8th nerve complexes appear normal. No focal lesion is seen.Intracranial vessels and dural sinuses display the expected flow void.The craniovertebral junction is unremarkable.T2 hyperintense signal is seen involving the right mastoid air cells suggesting mastoid effusion.Conclusion:* Chronic small vessel white matter ischaemic changes in the brain as described.* T2 hyperintense signal involving the right mastoid air cells suggesting mastoid effusion.* No other significant brain parenchymal abnormality is seen.Suggest clinical correlation.

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