sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz B. lmn / M / 82 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of left hemiparesis and subsequent fall and altered sensorium at 9.30 pm on 00.00.00.
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.

OBSERVATION :

There is an ill-defined, hypointense area on the T1 Weighted images in the right inferior frontal region. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images with a focal hypointense signal within, laterally.

Ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images are noted at the right occipital pole, posterior parietal periventricular white matter bilaterally and in the right posterior parietal white matter. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

The petrous and cavernous segments of the right internal carotid artery and probably also the right middle cerebral artery show an intraluminal signal on all the pulse sequences. Very subtle, effacement of the sulcal spaces is noted in the right cerebral hemisphere.






There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci in the left cerebral hemisphere and the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

IMPRESSION :

1. Altered signal in the right inferior frontal region most likely represents a haemorrhagic contusion, (with the given h/o fall).

2. Altered signal in the right occipital pole, posterior parietal periventricular white matter bilaterally and in the right posterior parietal white matter most likely represent ischemic changes.

3. Intraluminal signal in the petrous and cavernous segments of the right internal carotid artery and probably also the right middle cerebral artery most likely represents a thrombus (less likely to represent slow flow).