sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzolmn / F / 17 yrs.
Referred by : Dr. Abc Xyzelwal.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O railway accident on 00.00.00.
C/O vomiting and patient is in semiconscious state since then.

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.

OBSERVATION :

There is an ill-defined hyperintense signal on the proton, T2 Weighted and FLAIR images in the left high frontal cortex. This lesion appears hypointense to the normal gray matter on the T1 Weighted images and blooms on the Fast Scan (T2 *) images and represents a haemorrhagic cortical contusion, in the given clinical setting. Similar signal but to a lesser extent is noted in the right high frontal cortex.

There is an ill-defined, hyperintense signal on the T2 Weighted and FLAIR images in the right hippocampus. This lesion appears iso to hypointense to normal gray matter on the T1 Weighted images.

Hyperintense signal, best appreciated on the FLAIR images is noted in the sulcal spaces in the right high parietal region which may suggest subarachnoid haemorrhage.

The CSF spaces in the frontal regions bilaterally appear slightly prominent, which may suggest small subdural effusions.

There is asymmetric fullness of the left lateral ventricle as compared to the right.
..2/.






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

A subgaleal contusion is noted in the right fronto-parietal region.

IMPRESSION :

1. Haemorrhagic cortical contusions in the high frontal region bilaterally, left more than right.

2. Altered signal in the right hippocampus is not specific for a single etiology. This may represent hippocampal contusion.

3. Altered signal intensity in the sulcal spaces in the right high parietal region may suggest subarachnoid haemorrhage.

4. Small subdural effusions in the frontal regions bilaterally.