hs/sb/nl/nl
Date : 00.00.00

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

CLINICAL PROFILE :

Known C/O intracerebral hematoma.
For follow-up.

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 T2 Weighted coronal images.

OBSERVATION :

There is seen a fairly large, well-marginated, mass lesion which is hypointense with a hyperintense rim on the T1 Weighted images in the left thalamus. This lesion shows mixed signal characteristics on the T2 Weighted and FLAIR images. 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. Fluid-fluid levels are seen within the occipital horns of both the lateral ventricles.

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 the midline to the right. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of a subacute hemorrhage within the left thalamus with extensions as described.

As compared to the previous MRI (study no:00009) dated 00.00.00, there is a slight increase in the size of the lateral ventricles.

The hematoma is now in the subacute phase.