Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 55 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O right sided hemiparesis with vomiting.
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.
5 mm thick T1 Weighted sagittal images.
SOME IMAGES SHOW PATIENT MOTION.
There is a large, intermediate signal intensity lesion with a hyperintense rim on the T1 Weighted images having its epicentre in the left lentiform nucleus and measuring approximately 2.8 x 6.0 x 3.0 cms. This lesion has a hypointense centre with a
hyperintense rim on the proton, T2 Weighted and Gradient images. The periphery of the lesion blooms on the Gradient Echo images.
There is slight extension anteriorly into the left frontal lobe and also into the left temporal lobe. There is perilesionl edema with 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. 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 a subacute hematoma measuring approximately 2.8 x 6.0 x 3.0 cms. in the left lentiform nucleus
with extension into the ventricular system as described.
As compared to the previous MRI dated 00.00.00 (scan no. 00002), the hematoma is now subacute, without significant change in its size. There is however, no hydrocephalus.