Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 35 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O sudden onset of fall in the bathroom with LOC on 00.00.00.
Similar H/O 2 years ago with intraventricular bleed.
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 seen a fairly large, approximately 4.0 x 7.0 x 5.0 cms sized well-marginated, mass lesion in the left deep temporo-parietal region (left basal ganglionic region). This lesion is predominantly iso to slightly hypointense to normal white matter on the T1 Weighted images and appears relatively hypointense on the proton and T2 Weighted images. There is a peripheral CSF signal on all pulse sequences around the above described lesion which may represent serum due to clot retraction. There is mild perilesional edema with effacement of the sulcal spaces in the left temporo-parietal region and compression of the fourth ventricle. Extension of this lesion into the ventricular system is also noted.
There is mild dilatation of the right lateral ventricle. There is minimal bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
The MRI features are suggestive of an acute intracranial hematoma in the left deep temporo-parietal (basal glaglionic) region with intraventricular extension as described.