sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzam Jalmn / M / 56 yrs.
Referred by : Dr. Abc Xyzacker.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the LUE and LLE since 00.00.00.
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.

5 mm thick FLAIR and 4 mm thick Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a small, approximately 1.3 cm diameter sized hyperintense lesion on the T1 Weighted images in the right lentiform nucleus extending into the right corona radiata and right posterior capsular region. This lesion appears relatively hypointense on the proton and T2 Weighted images and blooms on the Fast Scan (T2 *) images. There is mild perilesional edema.

There is a linear hypointense signal on the T1 Weighted images in the right external capsular region. This lesion appears hyperintense on the proton and T2 Weighted images and shows a peripheral hypointense rim, better appreciated on the T2 Weighted and Fast Scan (T2 *) images.

There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in bilateral fronto-parietal deep white matter. These lesions appear hypointense to normal white matter on the T1 Weighted images.



There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is a subgaleal lipoma in the left occipital region.

IMPRESSION :

1. An approximately 1.3 cm diameter sized lesion in the right lentiform nucleus extending into the right corona radiata represents an early subacute hematoma.

2. Altered signal in the right external capsular region most likely is the sequelae of a previous hematoma in that region, which has now resolved.

3. Altered signal in the periventricular white matter bilaterally and in bilateral fronto-parietal white matter most likely represent ischemic changes.

4. Cerebral cortical atrophy.