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hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzo Klmn / M / 58 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 00.00.00.

EXAMINATION :

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of a space-occupying lesion within the right thalamus and having a diameter of 2.1 cms. This lesion is iso to hypointense on the T1 Weighted images and turns more hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images and would represent an acute bleed. Note is made of perilesional edema. There is extension of this lesion into the right lateral and third ventricles.

There are diffuse irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images in the fronto-parietal regions bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the head of the caudate nucleus and left lentiform nucleus. These are surrounded by gliotic changes (hyperintense on the proton, T2 Weighted and FLAIR images).



The left lateral 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.

IMPRESSION :

The MRI features are suggestive of an acute bleed within the right thalamus having a diameter of 2.1 cms. with extension into the ventricular system.


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