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ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzhalmn / F / 44 yrs.
Referred by : Dr. Abc Xyzchale.
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.

OBSERVATION :

There is gross thickening of the gyri in the right frontal, temporal and parietal lobes. These are hypointense to grey matter on the T1 Weighted images and are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. Similar areas are seen along the insular cortex, right lentiform nucleus and right external capsule, right corona radiata and centrum semiovale and the head of the right caudate nucleus. There is mass effect with effacement of the adjacent sulci, compression upon the body of the right lateral and third ventricles with slight shift of the midline structures to the left. Minimal effacement of the perimesencephalic cistern on the right side is noted with indentation upon the right cerebral peduncle. There is slight right uncal herniation.

Similar signal intensity small areas are seen in the fronto-parietal lobes.

The cavernous and petrous portion of the visualized internal carotid artery on the right side shows an intermediate signal intensity area on the T1 Weighted images. This is seen to be heterogeneously hyperintense on the T1 Weighted images and may represent a thrombus/slow flow.
..2/.





The left lateral and fourth ventricles are normal.

The left globe is aphakic.

IMPRESSION :

1. A large infarct in the right fronto-temporo-parietal lobes, along the insular cortex, right lentiform nucleus and right external capsule, right corona radiata and centrum semiovale and head of the right caudate nucleus.

2. A thrombus/slow flow in the cavernous and petrous portion of the visualized internal carotid artery on the right side.




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