hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzkumar lmn / M / 45 yrs.
Referred by : Dr. Abc Xyznna / Dr. Abc Xyzarikh /
Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O accident 4 months back with left sided hemiparesis and left UMN facial palsy. H/O bed sores with abscess formation.
Now C/O loss of consciousness since 00.00.00.
To r/o brain abscess.

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.

FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

There are diffuse areas of hypointensity on the T1 Weighted images involving the cortex and subcortical white matter in the right frontal and right temporal lobes and left temporal lobe. In the given clinical setting of trauma, these most likely represent contusions. The lesion in the left temporal lobe is seen to bloom on the Fast Scan (T2 *) images shows deposition of paramagnetic substances. The right temporal horn appears dilated.

A sliver of hyperintensity on the proton and T2 Weighted images is seen to overlie the right cerebral hemisphere and may represent a very small collection of fluid/altered blood.

A lacunar infarct (iso to hyperintense to CSF) is seen within the right lentiform nucleus.

There is mild fullness of the ventricular system.
..2/.







The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

In the given clinical setting of trauma, the MRI features are suggestive of :

1. Contusions in the cortex and subcortical white matter in the right frontal and right temporal lobes and left temporal lobe.

2. A very small collection of fluid/altered blood overlying the right cerebral hemisphere.

3. A lacunar infarct within the right lentiform nucleus.

As compared to the previous MRI dated 00.00.00 (Study No.00007) there is no significant change.