ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O RTA with head injury on 00.00.00.

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 are hyperintense areas on the T1 Weighted images in the left frontal lobe which are seen to remain so on the proton, T2 Weighted and FLAIR images and represent haemorrhagic contusions in the given clinical setting.

An extracerebral lesion with a maximum width of 1.0 cm is seen in the left frontal region. This is hyperintense on all the pulse sequences and represents an extracerebral collection of blood. A similar smaller collection is seen anterior to the left temporal lobe.

Fracture is noted of the left frontal bone. Altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.

Both the lateral, 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.






IMPRESSION :

1. Altered signal in the left frontal lobe would represent haemorrhagic contusions in the given clinical setting.

2. An extracerebral collection of blood with a maximum width of 1.0 cm in the left frontal region and a smaller one anterior to the left temporal lobe.

3. Fracture of the left frontal bone and altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.