Date : 00.00.00

Name of the Patient : Abc Xyzwari Kaslmn / F / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right facio-brachial paralysis with aphasia.
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 seen a well-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the gyri in the left temporo-parietal region including the insular cortex. This lesion appears hypointense on the T1 Weighted images. On the Fast Scan (T2 *) images, there is a predominant hypointense signal along the left temporal cortex. This lesion most likely represents a recent cortical infarct with evidence of acute hemorrhage. Resultant effacement of the left Sylvian cistern and the sulcal spaces in the left temporo-parietal region is noted. Minimal effacement of the left lateral ventricle is also noted.

The right 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.

IMPRESSION :

The MRI features suggest an acute haemorrhagic infarct involving the left temporo-parietal cortex as described.