Date : 00.00.00
Name of the Patient : Abc Xlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O fall with injury to head in May 0000 with multiple cerebral contusions and small subdural hematomas. C/O headaches.
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
There is a small well-defined hyperintense lesion which measures 0.4 x 0.6 cms. in the left inferior frontal lobe on the T2 Weighted images. This has a hypointense periphery. It is hyperintense on the T1 Weighted images and would represent extracellular methaemoglobin. There are surrounding hyperintense areas on the T2 Weighted images which are hypointense to the normal white matter on the T1 Weighted images and would represent areas of gliosis.
There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
The MRI features are suggestive of resolving hematoma/ haemorrhagic contusion in the left
inferior frontal lobe.
No significant abnormality is detected on the intracranial and neck MRA on this study.
As compared to the previous MRI dated 00.00.00 there is resolution of the previous subdural hematomas and the haemorrhagic contusion in the right temporal region.