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Date : 00.00.00

Name of the Patient : Abc XyzR. Menlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 6.30 am on 00.00.00.
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 Gradient (T2 *) coronal images.

OBSERVATION :

There is seen a fairly large, approximately 7.0 x 4.0 x 4.0 cms sized mass lesion in the right deep temporo-parietal region (in the region of the right external capsule). This lesion is iso to slightly hyperintense to normal white matter on the T1 Weighted images and is relatively hypointense on the proton and T2 Weighted images. This lesion is seen to bloom peripherally, on the Fast Scan (T2 *) images. Fluid signal is noted within this lesion which may represent serum, due to clot retraction. Layering is also noted within this lesion, posteriorly. There is mild perilesional edema with slight sulcal space effacement and compression of the right lateral ventricle. Minimal bulge of the midline structure to the left is noted. There is suspicious dissection of this lesion into the suprasellar cistern.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the left centrum semiovale and in the posterior parietal periventricular white matter bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images.

There is an ill-defined, hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally, which appears isointense on the proton and T2 Weighted images and may represent calcification/paramagnetic substance deposition.
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The left lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features suggest a fairly large, approximately 7.0 x 4.0 x 4.0 cms sized mass lesion in the right deep temporo-parietal region (in the region of the right external capsule) which follows the signal characteristics of a hyperacute to acute intracerebral hematoma.


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