Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O RTA on 00.00.00 with loss of consciousness for 12 hours.
C/O severe headaches since then.
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.
There is thickening of the gyri in the left temporal lobe which appear hypointense to normal grey matter on the T1 Weighted images and turn hyperintense on the proton and T2 Weighted images. Few hyperintense areas are noted within this lesion which are seen to turn hypointense on the Fast Scan (T2 *) images with few areas blooming and would represent altered blood. The entire lesion would represent a haemorrhagic contusion.
A similar smaller lesion is seen in the right temporal cortex better appreciated on the FLAIR images.
Small sliver of subdural collection is seen along the right cerebral convexity and the left temporal region. These are hyperintense on all the pulse sequences and represent subacute hematoma.
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.
Incidental note is made of subgaleal contusion/edema in the right fronto-parietal region.
1. A haemorrhagic contusion in the left and right temporal lobes, larger on the left.
2. Very small, subacute subdural hematomas along the right cerebral convexity and the left temporal region.
3. Subgaleal contusion/edema in the right fronto-parietal region.