Date : 00.00.00

Name of the Patient : Abc Xyza G. lmn / F / 41 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided weakness on 00.00.00 with loss of consciousness for 2 hours and increased blood pressure.
Patient is a known hypertensive.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted , proton and T2 Weighted axial images.

3 mm thick Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of a fairly well-defined space-occupying lesion in the pons on the right side and measuring approximately 1.3 x 2.2 x 1.2 cms. It is hypointense with a hyperintnese rim on the T1 Weighted images and turns hyperintense on the proton and T2 Weighted images and would be suggestive of a subacute bleed. There is mild indentation upon the fourth ventricle.

Few well-defined areas which are iso to hyperintense to CSF on all the pulse sequences are evident within the head of the left caudate nucleus, left thalamus/left cerebral peduncle and right para-atrial white matter. These would most likely represent lacunar infarcts.

Few hyperintense foci on the proton and T2 Weighted images are noted within the corona radiata bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

There is mild fullness of both the lateral ventricles. The third ventricle and basal cisternal spaces are unremarkable.


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There is no shift of the midline structures.

No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of a subacute bleed within the pons on the right side and measuring approximately 1.3 x 2.2 x 1.2 cms.