Date : 00.00.00
Name of the Patient : Abc Xyzhi Shlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided hemiplegia on 00.00.00.
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 coronal images.
5 mm thick T1 Weighted sagittal images.
There is evidence of gyral thickening in the right fronto-parietal lobes. These are hyperintense on all the pulse sequences and there is involvement of the cortex and subcortical white matter. This lesion is parafalcine in location and would represent a haemorrhagic infarct (? venous).
There are fairly well-defined areas which are nearly isointense to CSF on all the pulse sequences within the right fronto-parietal lobes. Adjacent to these are areas which are hypointense on the T1 Weighted images and which turn hyperintense on the Proton, T2 Weighted and FLAIR images and would represent gliotic changes. This lesion in toto would represent an area of cystic encephalomalacia. Resultant volume loss is noted.
There are multiple small areas of hyperintensity on the proton, T2 Weighted and FLAIR images in the fronto-parietal white matter and these are ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci bilaterally.
There is a suggestion of thrombosis with recanalization of the sigmoid and transverse sinuses on the right side and lower aspect of superior sagittal sinus.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Haemorrhagic infarct in the right fronto-parietal parafalcine lobes, ? venous, with probable thrombosis with recanalization of the sigmoid and transverse sinuses on the right side and lower aspect of superior sagittal sinus.