sb/ke/nl.rg.
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 ill-defined, hypointense areas on the T1 Weighted images in the left inferior frontal and frontal regions. These areas appear hyperintense on the proton, T2 Weighted and FLAIR images. Ill-defined, hyperintense signal on all the pulse sequences are noted within this lesion, which represents a resolving hemorrhagic contusion, in the given clinical setting.

A very small, epidural collection is noted in the left frontal region which is hyperintense to CSF on all the pulse sequences, the maximum width of this lesion is about 4.0 mms.

Fracture of the left frontal bone and the cribriform plate of the ethmoid bone on the left is noted and also involving the left frontal sinus. 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.
- 2 - Scan-00003

IMPRESSION :

1. Altered signal in the inferior frontal and left frontal lobes would represent haemorrhagic contusions in the given clinical setting.

2. An extracerebral collection of blood with a maximum width of 4.0 mms in the left frontal region.

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

As compared to the previous MRI (study no:00004) dated 00.00.00, there is reduction in the size of the extracerebral collection in the left frontal region.