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Date : 00.00.00

Name of the Patient : Abc XyzB. Slmn / F / 50 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden 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 Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a fairly large, approximately 5.0 x 6.5 x 4.2 cms sized intermediate signal intensity mass lesion on the T1Weighted images in the right deep temporo-parietal region. This lesion appears heterogeneously hyperintense on the proton, T2 Weighted and Fast Scan (T2 *) images. Focal small, hypointense areas are noted within this lesion on the Fast Scan (T2 *) images. This lesion represents a hyperacute to acute intracerebral hematoma. Fluid level in the occipital horn of the lateral ventricles bilaterally with non-visualization of the fourth ventricle suggests intraventricular extension of the lesion. Peripheral hyperintense signal on the T2 Weighted images represents serum due to clot retraction. There is effacement of the sulcal spaces in the cerebral hemispheres bilaterally with compression of the right lateral and the third ventricle and shift of the midline structures to the left. The cerebellar folia are also effaced with cerebellar tonsilar ectopia. The basal cisternal spaces are also effaced. The lesion is seen to extend into the corona radiata superiorly and into the midbrain on the right inferiorly.

Inflammatory changes are noted in the paranasal sinuses.

IMPRESSION :

An approximately 5.0 x 6.5 x 4.2 cms sized mass lesion in the right deep temporo-parietal region represents a hyperacute to acute intracerebral hematoma. There is resultant significant mass effect with intraventricular extension of the hematoma as described.



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