sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzichgar / Dr. Abc Xyzingh.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Patient in unconscious state since 12.25 am of 00.00.00.
ECG s/o acute inferior wall MI.

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 Fast Scan (T2 *) coronal images.

OBSERVATION :

The pons appears swollen. There is seen an ill-marginated, iso to hyperintense lesion on the T1 Weighted images in the pons, centrally, which remains hyperintense on the proton and T2 Weighted images, but shows linear hypointense signal on the Fast Scan (T2 *) images. This lesion most likely represents a hyperacute to acute pontine hematoma. Hyperintense signal on the proton and T2 Weighted images in the lower midbrain and upper medulla may represent clot retraction/
perilesional edema. Slight effacement of the peripontine cisterns and the fourth ventricle is noted.

There is mild fullness of both the lateral and third ventricles. Lacunar infarcts are noted in the left thalamus and right lentiform nucleus, superiorly.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the right mastoid air cells and the ethmoidal air cells bilaterally.

Susceptibility artifacts are noted in the right high parietal region with a probable soft tissue scalp injury in the right high parietal region.
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IMPRESSION :

1. Altered signal in the pons, as described, most likely represents a hyperacute to acute pontine hematoma.

2. Lacunar infarcts in the left thalamus and right lentiform nucleus.

3. Scalp injury in the right high parietal region.