ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz K. Tlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzannu.
Examination : M.R.I. of the Face.
CLINICAL PROFILE :
C/O RTA in July 0000 with multiple facial fractures and CSF leak.
EXAMINATION :
M.R.I of the face was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick T2 Weighted axial images with fat saturation.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There appears to be old fractures in the frontal bones bilaterally in the region of the lamina papyracea on the right side. The inferior wall of the right orbit is seen to be bulging into the right maxillary antrum. There is discontinuity of the superior wall of the orbit. Hyperintense signal is seen in the frontal sinuses bilaterally on all the pulse sequences.
Hyperintense areas are seen in the soft tissues around the right orbit on the T2 Weighted images (se/im 106/11).
Old fractures of the nasal bone is also noted.
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The optic nerves show normal signal intensity.
IMPRESSION :
The MRI features are suggestive of old fractures of the frontal bone, right orbit and nasal bone as described.
No intracranial lesion is detected.