sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzMalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O generalized tonic/clonic convulsion on 00.00.00 at 4.00 pm with loss of consciousness since then.

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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images along the cortex in the left temporo-parieto-occipital region. This lesion appears hypointense to normal grey matter on the T1 Weighted images and represents a recent ischemic insult. On the Fast Scan (T2 *) images there are some areas which appear significantly hypointense, suggesting acute haemorrhage within the lesion. There is sulcal space effacement, compression of the left lateral and third ventricles and shift of the midline structures to the right. There is also transtentorial herniation of the left medial temporal pole, distortion of the upper brainstem axis and effacement of the suprasellar and ambient cisterns. A small, left fronto-parietal subdural effusion is also noted. The sulcal/gyral differentiation in the right cerebral hemisphere is also not well appreciated.

The fourth ventricle is normal.


The left internal carotid artery appears smaller in calibre as compared to the opposite side.

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

The MRI features suggest a fairly large, left temporo-parieto- occipital haemorrhagic infarct with mass effect as described.