sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Dlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O paresthesias in the RUE since 00.00.00 and slightly in the RLE.

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 T1 Weighted and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a small, approximately 9.0 mms diameter sized, well-marginated hyperintense lesion on the T1 Weighted images in the left precentral cortex. This lesion turns slightly more hyperintense on the proton, T2 Weighted and FLAIR images. There is mild perilesional edema with slight effacement of the left central sulcus.

Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.








IMPRESSION :

Altered signal in the left precentral sulcus, most likely represents a late, subacute hematoma (extracellular methaemoglobin).

An occult cerebrovascular malformation may be considered as a likely possibility.

A follow-up MRI would be worthwhile.