sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzchalmn / M / 73 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with aphasia, right sided weakness and loss of consciousness.
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 Fast Scan (T2 *) coronal images.

OBSERVATION :

There is seen a fairly large, approximately 4.1 x 3.2 x 4.5 cms sized fairly well-marginated, iso to hypointense (as compared to normal white matter) mass lesion on the T1 Weighted images in the left thalamus. This lesion appears relatively hypointense on the T2 Weighted and Fast Scan (T2 *) images. The periphery of the lesion appears hyperintense on the T2 Weighted images most likely representing serum due to clot retraction. There is mild perilesional edema with indentation on the left lateral and third ventricles. The lesion extends inferiorly into the subthalamic region and into the midbrain on the left. Superiorly it extends into the left corona radiata, posteriorly and laterally it extends into the left posterior capsular region and left lentiform nucleus. The lesion also extends into the left lateral ventricle.

There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the periventricular white matter bilaterally and in the bilateral centrum semiovale. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.



There is mild dilatation of the right lateral ventricle. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is minimal bulge of midline to the right. No obvious vascular anomaly is identified on this study.

IMPRESSION :

An approximately 4.1 x 3.2 x 4.5 cms sized mass lesion in the left thalamus with extensions as described most likely represents an acute intracerebral hematoma.