ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznd Shlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis with slurred speech since 1 day.
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 and Fast Scan (T2 *) coronal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a large mass lesion in the region of the left lentiform nucleus extending into the left external capsule which measures approximately 5.0 x 3.1 x 4.5 cms. This lesion is slightly iso to hypointense to white matter on the T1 Weighted images and is heterogenously hyperintense on the proton, T2 Weighted and FLAIR images with few areas turning hyperintense. Hypointense strands which are seen to bloom on the Fast Scan (T2 *) images would represent deoxyhemoglobin and the lesion would represent an acute hematoma. Hypointense areas seen at the periphery of this lesion which turns hyperintense on the proton and T2 Weighted images would represent serum from clot retraction. Mild surrounding edema is noted. There is mass effacement of the left Sylvian fissure, compression upon the body of the left lateral ventricle with resultant shift of the midline to the right. There does not seen to be any dissection into the ventricular system.
Scan-00002


Lacunar infarcts which are isointense to CSF on all the pulse sequences are seen in the right lentiform nucleus and left centrum semiovale.

There is mild fullness of the right lateral ventricle with periventricular ischemic changes.

No obvious vascular anomaly is identified on this study.

Incidental note is made of an empty sella.

Incidental note is made of right maxillary polyp.

IMPRESSION :

The MRI features are suggestive of an acute intracerebral hematoma in the left lentiform nucleus and left external capuslar region measuring approximately 5.0 x 3.1 x 4.5 cms with mass effect as described.