sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzben Mlmn / F / 82 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden loss of speech and subsequent loss of consciousness at 9.00 am on 00.00.00.
H/O seizures at 1.30 pm on 00.00.00.

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.

OBSERVATION :

There is seen an approximately 2.2 x 2.0 x 1.8 cms sized well marginated, slightly hyperintense lesion on the T1 Weighted images in the left posterior temporal lobe. This lesion appears slightly hypointense on the T2 Weighted images but turns appreciably more hypointense on the Fast Scan (T2 *) images and represents an acute intraparenchymal hematoma. There is mild perilesional edema with effacement of the sulcal spaces and the left Sylvian cistern. Minimal indentation on the atrium of the left lateral ventricle is noted.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, in the subcortical and deep white matter in the right posterior parietal region, in the subcortical white matter in the fronto-parietal regions bilaterally and in the posterior parietal periventricular white matter and centrum semiovale bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.


Lacunar infarcts are noted in the lentiform nuclei and thalami bilaterally.

There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. An acute intraparenchymal hematoma measuring approximately 2.2 x 2.0 x 1.8 cms in the left posterior temporal lobe.

2. Altered signal in the pons, in the subcortical and deep white matter in the right posterior parietal region, in the subcortical white matter in the fronto-parietal regions bilaterally and in the posterior parietal periventricular white matter and centrum semiovale bilaterally most likely represent ischemic changes.

3. Lacunar infarcts in the lentiform nuclei and thalami bilaterally.

4. Age related cerebral and cerebellar atrophy.