Date : 00.00.00
Name of the Patient : Abc Xyzhar S. Delmn / M / 45 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall 10 days back.
C/O left hemiplegia with dysarthria since then.
H/O similar complaints 3 months back. Recovered with RX.
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.
There is swelling of the gyri in the right fronto-temporal region. Hypointense areas are seen on the T1 Weighted images in the right fronto-temporal region involving the grey and the white matter, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is mass effect with effacement of the sulci, compression upon the body of the right lateral and the third ventricles with shift of the midline structures to the left side. Slight indentation upon the frontal horn of the left lateral ventricle is also noted.
Intermediate signal intensity is seen in the cavernous portion of the internal corotid artery on the right side which turns hyperintense on the proton and T2 Weighted images and may represent slow flow/thrombus. There is non-visualization of the internal carotid artery on the right side on the 2D PC sequence.
The fourth ventricle is normal.
Incidental note is made of right maxillary sinusitis and inflammatory changes are also seen in the sphenoid sinus.
The MRI features are suggestive of :
1. Recent infarct in the right fronto-temporal region, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side in the distribution of the right MCA and right ACA artery territories.
2. Altered signal in the cavernous portion of the internal corotid artery on the right side may represent a slow flow/thrombus.