Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzadhan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O sudden onset of altered sensorium since 15 days.
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 are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the temporo-occipito-parietal lobes on the left side. There is involvement of the cortical grey matter as well as the underlying white matter. This lesion most likely represents an infarct. Areas of hyperintensity on the T1 Weighted images are seen within this lesion along the gyri and may represent paramagnetic substances/subacute blood.
Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter bilaterally and are most likely ischemic in etiology.
A lacune (iso to hyperintense to CSF) is seen within the pons on the left side.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
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 an area of altered signal within the left temporo-occipito-parietal lobes on the left side most likely represents an infarct. Areas of altered signal within the lesion along the gyri may represent paramagnetic substances/subacute blood.