ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzr V. Goslmn / M / 60 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis.
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 coronal images.

OBSERVATION :

There is a large lesion which is extracerebral in location in the right fronto-parietal region having a maximum width of 3.0 cms. This is hyperintense on all the pulse sequences and would represent extracellular methemoglobin. Multiple septae are seen within this lesion. There is mass effect upon the underlying brain parenchyma with effacement of the adjacent sulci, right Sylvian fissure and compression of the right lateral and third ventricles. There is shift of the midline structures to the left. A similar smaller lesion is noted in the posterior parietal region on the left side.

There is slight fullness of the left lateral ventricle. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci on the left side and of the cerebellar folia bilaterally.

No obvious vascular anomaly is identified on this study.





IMPRESSION :

1. A large lesion which is extracerebral in location (hematoma)
in the right fronto-parietal region having a maximum width of 3.0 cms. (? chronic subdural ? extradural)

2. A small extracerebral collection of blood in the posterior parietal region on the left side.