Date : 00.00.00
Name of the Patient : Abc Xyz Tibrlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road traffic accident with multiple injuries on 00.00.00.
Now disoriented with tonic/clonic convulsions.
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 a small hyperintense area on the proton, T2 Weighted and FLAIR images in the left frontal region (scans 103.15, 102.15, 104.12). This area is isointense to the white matter on the T1 Weighted images and represents a contusion.
There is another area in the subcortical white matter in the right frontal region (scans 104.11, 102.17, 102.18) on the T2 Weighted and FLAIR images which is isointense on the T1 Weighted images and represents a Shearing injury.
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.
There is no extracerebral collection on this study.
Incidental note is made of subgaleal contusion/edema in the right fronto-temporo-parietal region with bone bruise of the right zygomatic arch.
Metallic susceptibility artifacts are seen in the right occipital region.
In a known C/O trauma, the MRI features are suggestive of a contusion in the left frontal region and a Shearing injury in the right parietal subcortical parafalcine region.