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hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzal Vakhlmn / M / 72 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis.
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 T2 Weighted and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is evidence of a space occupying lesion measuring approximately 4.0 x 3.0 x 3.5 cms and having its epicentre in the right lentiform nucleus and extending into the right corona radiata and right temporal lobe. 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. Perilesional edema which is also seen to extend into the right cerebral peduncle is noted with compression upon the right lateral ventricle with a slight shift to the left side.

There is dessection into the right lateral ventricle.

A focus of hypointensity is seen only on the Fast Scan (T2 *) images and noted in the lentiform nucleus and this may represent calcium/paramagnetic substances/hemosiderin (? the result of previous bleed).

Lacunar infarcts (iso to hyperintense to CSF) are noted within the head of the caudate nuclei and lentiform nuclei bilaterally and left cerebellar hemisphere.


Areas of hyperintensity on the proton and T2 Weighted images are seen within the periventricular white matter, pons and 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.

There is fullness of the left lateral ventricle. Also seen is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

A polyp is seen within the right maxillary sinus.

IMPRESSION :

The MRI features are suggestive of an acute bleed measuring approximately 4.0 x 3.0 x 3.5 cms and having its epicentre in the right lentiform nucleus and extending into the right corona radiata and right temporal lobe with dessection into the right lateral ventricle.


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