ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzilmn / M / 72 yrs.
Referred by : Dr. Abc Xyzkim.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O fall and head injury 10 days back.
For follow up.

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 coronal images.

IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are hyperintense areas in the frontal regions bilaterally, temporal lobes bilaterally (left more than right) and the left high parietal region on the T1 Weighted images. These are seen to remain hyperintense on the proton, T2 Weighted and FLAIR images and would represent haemorrhagic contusions in the given clinical setting.

Small sliver of subdural collection which is hyperintense on all the pulse sequences is seen along the frontal lobes bilaterally, left temporo-parietal region and the right temporal region.

There is slight fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
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IMPRESSION :

The MRI features are suggestive of :

1. Altered signal in the frontal regions bilaterally, bilateral temporal lobes (left more than right) and the left high parietal region would represent haemorrhagic contusions in the given clinical setting.

2. Subdural collections along the frontal lobes bilaterally, left temporo-parietal region and the right temporal region.

As compared to the previous MRI dated 00.00.00, there is now evolution of the haemorrhagic contusions. The subdural collections are unchanged in size from the previous study.