Date : 00.00.00

Name of the Patient : Abc XyzYasin Nilmn / M / 35 yrs.
Referred by : Dr. Abc XyzAndar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O vehicular accident at 1.30 am on 00.00.00 with loss of consciousness.

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 T2 Weighted and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an intermediate signal intensity mass lesion having its epicenter in the right lentiform nucleus in the right fronto-temporo-parietal region and measures approximately 5.1 x 9.3 x 6.5 cms. The centre of this lesion is slight hypointense to white matter on the T1 Weighted images and is seen to turn heterogeneously hypointense on the proton and T2 Weighted images. Few hypointense areas within this lesion are seen to bloom on the Fast Scan (T2 *) images. The periphery of this lesion is slightly hyperintense to CSF on the T1 Weighted images and turns more hyperintense on the proton, T2 Weighted and Fast Scan (T2 *) images. Fluid level is seen at the periphery and would represent clot retraction and the lesion would represent an acute hematoma. There is slight dissection into the fourth ventricle. There is mass effect with compression upon the body of the right lateral and third ventricles with shift of the midline structures to the left.

There is mild fullness of both the lateral ventricles.

No obvious vascular anomaly is identified on this study.
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Incidental note is made of a hyperintense signal in the soft tissues in the left fronto-temporal region on the proton and T2 Weighted images and would represent subgaleal contusion/edema.

Inflammatory changes are noted in the ethmoidal air cells and left maxillary antrum.

IMPRESSION :

The MRI features are suggestive of an acute hematoma measuring approximately 5.1 x
9.3 x 6.5 cms in the right fronto-temporo-parietal region with slight dissection into the fourth ventricle, compressing the body of the right lateral and third ventricles with shift of the midline structures to the left.