Date : 00.00.00
Name of the Patient : Abc lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall from a height.
C/O giddiness, vomiting, heaviness of head, tinnitus in the right ear and comatose state.
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 evidence of a small area of hypointensity on all the pulse sequences which is seen to bloom on the Fast Scan (T2 *) images within the left cerebellar hemisphere. This may represent hemosiderin/calcium/paramagnetic substances.
Areas of hypointensity on the Fast Scan (T2 *) images are seen within the right temporal lobe. These may represent hemosiderin (? the sequelae of previous hemorrhagic contusions - previous CT).
There is a sliver of hyperintensity on the proton and T2 Weighted images (se/im 102/10, 102/11, 103/10, 103/11) overlying the left temporal lobe. This may represent a small subdural collection of fluid/blood.
There is mild prominence of the cerebellar folia 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/blood is seen within the mastoid air cells on the right side and sphenoid sinus.
The MRI features are suggestive of :
1. A small area of altered signal intensity within the left cerebellar hemisphere may represent hemosiderin/calcium/ paramagnetic substances.
2. Areas of altered signal intensity within the right temporal lobe may represent hemosiderin and this may be the sequelae of previous hemorrhagic contusion.
3. A very small subdural collection of fluid/blood overlying the left temporal lobe.