sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Shlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the right half of body since 7 days.
H/O hypertension.

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.

OBSERVATION :

There is seen a well-defined, approximately 1.2 cms diameter sized hyperintense lesion on the T1 Weighted images in the left thalamus. This lesion remains hyperintense on the proton, T2 Weighted and FLAIR images and represents extracellular methemoglobin. There is a well-defined hypointense rim seen on the proton and T2 Weighted images. There is mild perilesional edema with minimal indentation on the third ventricle.

Lacunar infarcts are noted in the cerebellar hemispheres bilaterally, in the pons, right thalamus, bilateral lentiform nuclei and in the right corona radiata.

Ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale most likely represent ischemic changes.






Both the lateral and the fourth ventricles appear normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the maxillary sinuses bilaterally.

Incidentally noted is an empty sella.

IMPRESSION :

1. An approximately 1.2 cms diameter sized lesion in the left thalamus represents a subacute hematoma.

2. Lacunar infarcts in the cerebellar hemispheres bilaterally, in the pons, right thalamus, bilateral lentiform nuclei and in the right corona radiata.

3. Altered signal in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale most likely represent ischemic changes.