/00002 Date : 00.00.00/00.00.00
Name of the Patient : Abc Xyzm Patlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident with injury to the left side of face on 00.00.00 and loss of vision on the left side.
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 coronal images.
3 mm thick T1 Weighted and STIR coronal images through the orbits.
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial and oblique sagittal images.
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There appears to be a fracture of the lateral wall of the left orbit. The orbits per se are unremarkable. The visualized optic nerves bilaterally show normal signal intensity.
Inflammatory changes (? blood) is seen in the paranasal sinuses.
Both the lateral, third 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.
The MRI features are suggestive of :
1. Mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
2. Probable fracture of the lateral wall of the left orbit. The optic nerves bilaterally are unremarkable.
3. Soft tissue in the paranasal sinuses, - ? blood with fluid level in the right maxillary antrum.