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sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzni Ylmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with loss of consciousness and fever since 3-4 months.
C/O left sided seizures on 00.00.00 with weakness of the LUE and LLE with paresthesias and heaviness of head since then.

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 FLAIR and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right frontal cortex and in the right high parietal cortex and subcortical white matter. This lesion appears relatively hypointense to normal white matter on the T1 Weighted images. There is a hyperintense signal on the T1 Weighted images along the cortex in the right frontal and right high parietal region. This signal remains hyperintense on the proton, T2 Weighted and FLAIR images and represents extracellular methemoglobin/paramagnetic substances.

Prominent perivascular spaces are noted in the frontal and parietal 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.

Inflammatory changes are noted in the left maxillary sinus.

IMPRESSION :

Altered signal in the right frontal cortex and right parietal cortex and subcortical white matter with evidence of hemoglobin break down products most likely represents a subacute haemorrhagic infarct.
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