Date : 00.00.00

Name of the Patient : Abc Xyziben Khandelmn / F / 79 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the LUE and LLE with closure of the left eye and difficulty in speech and increased BP on admission.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of a fairly well-defined space-occupying lesion measuring approximately 3.5 x 3.8 x 3.5 cms and having its epicentre in the thalamus on the right side. This lesion is isointense to brain parenchyma on the T1 Weighted images and turns hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images (predominantly hyperintense on the FLAIR images). This lesion would represent an acute bleed. Also seen is perilesional edema with extension into the right cerebral peduncles and slight clot retraction.

There is mild compression upon the right lateral and third ventricles with slight shift of the midline to the left side. Also seen are fluid-fluid levels within the occipital horns of both the lateral ventricles and this would suggest a dissection of the bleed into the ventricular system. Periventricular hyperintensities on the proton, T2 Weighted and FLAIR images are made note of.



Well-defined areas which are iso to hyperintense to CSF are noted within the lentiform nulcei bilaterally and these most likely represent lacunar infarcts.

No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of an acute bleed measuring approximately 3.5 x 3.8 x 3.5 cms and having its epicentre in the thalamus on the right side with mass effect and dissection into the ventricular system.