Date : 00.00.00
Name of the Patient : Abc XyzM. Blmn / M / 19 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road traffic accident on 00.00.00 at 6.30 pm with vomiting and loss of consciousness at that time.
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 are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images along the inferior frontal and temporal cortex bilaterally. This lesion appears hypointense to normal grey matter on the T1 Weighted images. On the Fast Scan (T2 *) images, this lesion shows focal areas of hypointense signal which may suggest hemoglobin breakdown products.
There is seen a small, extradural hematoma in the left temporal region with a maximum width of about 5.0 mms. This lesion is of intermediate signal on the T1 Weighted images and hyperintense on the proton and T2 Weighted images.
Very small, subdural effusion is noted in the fronto-temporal regions bilaterally.
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.
A subgaleal hematoma is noted in the left posterior parietal region.
1. Altered signal in the inferior frontal and temporal cortex bilaterally represents cortical contusions, probably haemorrhagic, in the given clinical setting.
2. A small extradural hematoma in the left temporal region with a maximum width of about 5.0 mms.
3. Very small, subdural effusions in the fronto-temporal regions bilaterally.
4. A subgaleal hematoma is noted in the left posterior parietal region.