ke/hs/rg/nl.
Date : 00.00.00

Name of the Patient : Abc XyzD. lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmath.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and pain on the right side of the face upto the neck with generalized weakness all over the body since 15 days.
H/O fever prior to this.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The right cerebellar hemisphere appears to be swollen. This is hypointense to gray matter on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images. There is mass effect with indentation upon the right lateral aspect of the fourth ventricle and slight effacement of the quadrigeminal cistern on the right side. Mild indentation upon the inferior tectum is also noted. There is a slight shift of the fourth ventricle to the left.

There is gyral thickening in the right occipital lobe and it is hyperintense on the FLAIR images.

There is mild dilatation of both the lateral and third ventricles. There is slight effacement of the cerebral cortical sulci bilaterally and this may suggest increased intracranial tension. No obvious vascular anomaly is identified on this study. Incidental note is made of right maxillary sinusitis.


There is slight herniation of the cerebellar tonsils through the foramen magnum.

IMPRESSION :

The MRI features are suggestive of :

1. A large infarct involving the the right cerebellar hemisphere as described and a smaller one involving the right occipital lobe.

2. Mild dilatation of both the lateral and third ventricles.