Date : 00.00.00
Name of the Patient : Abc Xyza Matlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden loss of consciousness.
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 T2 Weighted and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
There is seen a fairly large, approximately 6.0 x 6.5 x 5.8 cms sized well marginated intermediate signal intensity mass lesion on the T1 Weighted images in the left deep temporo-parietal region (most likely in the region of the left lentiform nucleus/external capsular region). This lesion appears relatively hyperintense to normal white matter on the proton and T2 Weighted images and shows a peripheral hypointense rim on the Fast Scan (T2 *) images. Along the periphery of the lesion there is a cystic component which is slightly hyperintense to CSF on all the pulse sequences and would represent serum due to clot retraction. Extension of the above described lesion into the left thalamus, brainstem and subsequently into the fourth ventricle is noted. There is effacement of the cerebral cortical sulci bilaterally with compression of the left lateral and third ventricles and subfalcine herniation of the ventricles to the right. Perilesional edema is noted around this lesion.
There is mild dilatation of the right lateral ventricle with periventricular hyperintense signal in the right occipital region, ? due to periventricular CSF ooze. The basal cisternal spaces are effaced.
No obvious vascular anomaly is identified on this study.
Incidentally noted are inflammatory changes in the right frontal and bilateral maxillary sinuses.
Left eye pthysis bulbi is also noted.
A fairly large, approximately 6.0 x 6.5 x 5.8 cms sized mass lesion in the left deep temporo-parietal region extending into the brain stem and the fourth ventricle as described, follows the signal characteristics of a hyperacute to acute intracerebral hematoma. There is resultant significant mass effect.