/298 Date : 24/00.00.00
Name of the Patient : Abc Xyzkash Arullmn / M / 46 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided weakness with speech disturbances since 5.00 pm of 00.00.00.
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.
There is seen an approximately 2.8 x 3.8 x 4.0 cms sized well-marginated, iso to hypointense mass lesion on the T1 Weighted images in the right thalamus. This lesion appears heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images with hypointense areas within. The lesion blooms partially, on the Fast Scan (T2 *) images. There is mild perilesional edema with indentation of the right lateral and third ventricles and mild bulge of the midline to the left. Extension into the right lateral ventricle is noted. There is also extension into the right corona radiata, superiorly and right cerebral peduncle, inferiorly.
A small bright focus on the proton, T2 Weighted and FLAIR images is noted in the subcortical white matter in the left fronto-temporal region.
There is mild fullness of the left lateral ventricle. The fourth ventricle is normal. The CSF in the fourth ventricle and the cisterna magna appears hyperintense when compared to the normal CSF signal on the T1 Weighted and FLAIR images. This may be due to leak of the right thalamic hematoma into the fourth ventricle/basal cisterns. No obvious vascular anomaly is identified on this study.
An approximately 2.8 x 3.8 x 4.0 cms sized mass lesion in the right thalamus with extensions as described follows the signal characteristics of a hyperacute to acute intracerebral hematoma. There is intraventricular extension of this lesion.
Repeat, limited, T2 Weighted axial images of the brain were obtained on 00.00.00. There is a definite increase in the size of the right thalamic lesion which now measures 4.2 x 5.8 x 4.9 cms. There is also increase in the size of the lateral ventricles and increase in the overall mass effect. The intraventricular extension of the hematoma is more pronounced.