Date : 00.00.00
Name of the Patient : Abc XyzA. Golmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall at 10.30 pm on 00.00.00 with altered sensorium.
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.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
Areas of intermediate signal intensity on the T1 Weighted images which turn hyperintense on the STIR images are seen within the suprasellar cistern, more so to the right of the pituitary stalk (scans 105.14, 108.9, 108.10).
There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The odontoid process appears placed more to the left of the midline ? positional.
There is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The MRI features are suggestive of areas of altered signal intensity within the suprasellar cistern as described. In the given clinical setting of trauma this may represent subarachnoid haemorrhage.