Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 55 yrs.
Referred by : Dr. Abc Xyz Mehta / Dr. Abc Xyzaveri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O right sided hemiparesis with vomiting and LOC since 00.00.00 with high blood pressure.
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 Gradient Echo coronal images.
There is a large, intermediate signal intensity lesion on the T1 Weighted images having its epicentre in the left external capsular region measuring approximately 2.8 x 6.0 x 3.0 cms. This lesion is heterogeneously hyperintense on the proton, T2 Weighted and Gradient images. The periphery of this lesion is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images and would represent serum due to clot retraction. The periphery of lesion and the few areas within the lesion are seen to bloom on the Fast Scan (T2 *) images. There is slight extension anteriorly into the left frontal lobe. There is mass effect with compression upon the body of the left lateral and the third ventricles.
Altered blood is also noted within the left lateral and fourth ventricles.
The right lateral ventricle is normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary polyp.
The MRI features are suggestive of an acute hematoma measuring approximately 2.8 x 6.0 x 3.0 cms. in the left external capsular region with extensions as described.