hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi Klmn / F / 60 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis with slurred speech and altered sensorium since 2 days.
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 evidence of a space-occupying lesion measuring approximately 4.0 x 3.0 x 2.2 cms and located within the lentiform nucleus and temporal lobes on the right side. This lesion is mildly hypointense on the T1 Weighted images and turns more hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images. Note is made of perilesional edema with resultant indentation on the right lateral ventricle with mild shift of the midline to the left.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the right caudate nucleus, left lentiform nucleus and right thalamus.

Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are noted within the periventricular white matter and the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
Scan-00005


There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

Calcification is noted in the globus pallidi bilaterally.

The left lateral and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of an acute bleed within the lentiform nucleus and temporal lobes on the right side and measuring approximately 4.0 x 3.0 x 2.2 cms.