Date : 00.00.00

Name of the Patient : Abc Xyzr T. Palmn / M / 75 yrs.
Referred by : Dr. Abc Xyzhlani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O Known diabetic & hypertensive. On Rx.
C/O right sided weakness with heaviness of tongue since 5-6 days.

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 coronal images.

OBSERVATION :

There is evidence of a fairly well-defined, space-occupying lesion within the right cerebellar hemisphere and measuring approximately 2.4 x 3.8 x 3.0 cms. The lesion has a hypointense to isointense centre with a hyperintense rim on all the pulse sequences suggestive of a subacute bleed. This lesion is surrounded by hypointense areas on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images and which would represent perilesional edema. There is resultant compression upon the fourth ventricle with slight shift to the left side. Also seen is effacement of the adjacent sulcal spaces.

Hyperintense areas on the proton, T2 Weighted and FLAIR images (iso to hypointense on the T1 Weighted images) are seen in the periatrial white matter and are most likely ischemic in etiology.

Dilated perivascular spaces are seen in the lentiform nuclei and centrum semiovale bilaterally.

There is mild fullness of the third and both the lateral ventricles. Also seen is prominence of the cerebral cortical sulci and left cerebellar folia.

No obvious vascular anomaly is identified on this study.

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IMPRESSION :

The MRI features are suggestive of a subacute bleed measuring approximately 2.4 x 3.8 x 3.0 cms. in the right cerebellar hemisphere with surrounding mass effect.