Date : 00.00.00
Name of the Patient : Abc Xyzant lmn / M / 76 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O intracerebral bleed detected on 00.00.00 with loss of consciousness.
H/O ventriculostomy done 10 days back.
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 Fast Scan (T2 *) and FLAIR coronal images.
FEW IMAGES SHOW PATIENT MOTION.
There is evidence of a space occupying lesion having a hypointense centre with a hyperintense rim on the T1 Weighted images and is predominantly hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images within the right basal ganglia with extension into the right lateral ventricle. This lesion would represent a subacute hematoma. There is compression upon the frontal horn of the right lateral ventricle with mild shift of the midline to the left side. Blood is seen within the third, fourth and both the lateral ventricles, suprasellar cistern and right Sylvian fissure.
There is mild to moderate dilatation of the ventricular system. Periventricular hyperintensities are seen on the proton, T2 Weighted and FLAIR images suggestive of CSF ooze.
Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen within both lentiform nuclei and may be ischemic in etiology.
No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in both mastoid air cells, both maxillary sinuses, ethmoidal air cells and sphenoid sinus.
The MRI features are suggestive of a subacute hematoma within the right basal ganglia with extension into the ventricular system as described.
Also seen is mild to moderate communicating hydrocephalus.