Date : 00.00.00
Name of the Patient : Abc XyzDlmn / F / 78 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness with vomiting and loss of consciousness on 00.00.00 followed with left sided hemiparesis.
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 evidence of a space occupying lesion measuring approximately 3.2 x 3.0 x 2.9 cms and having its epicentre in the right thalamus and extending into the right corona radiata. This lesion is hypointense on the T1 Weighted images and turns more hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images and would represent an acute bleed. There is perilesional edema with compression upon right lateral and third ventricles with a shift to the left side.
Fluid fluid levels are noted within the occipital horns and would represent intraventricular extension of this bleed. Blood is also noted in the aqueduct and fourth ventricle. There is fullness of both the lateral ventricles with periventricular hyperintensities on the proton, T2 Weighted and FLAIR images (would represent CSF ooze).
Areas of hyperintensity on the proton and T2 Weighted images are seen within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
The MRI features are suggestive of an acute bleed measuring approximately 3.2 x 3.0 x 2.9 cms and having its epicentre in the right thalamus and extending into the right corona radiata and dissecting into the ventricular system as described.