Date : 00.00.00
Name of the Patient : Abc Xyzrali Chlmn / M / 5 yrs.
Referred by : Dr. Abc Xyzsbekar / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall at 4.30 pm on 00.00.00 with vomiting and drowsiness.
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.
There is a hypointense focus on the T1 Weighted images in the right high parietal, parafalcine region (scan 104.16). This lesion appears hyperintense on the T2 Weighted images and may represent a cortical contusion in the given clinical setting.
A suspicious fracture of the left frontal bone is noted (scan 103.14).
Both the 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.
There is no obvious evidence of haemorrhage on this study.
1. Altered signal in the right high parietal parafalcine region most likely represents a cortical contusion in the given clinical setting.
2. A suspicious fracture of the left frontal bone.