Date : 00.00.00
Name of the Patient : Abc Xyzhilmn / M / 37 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures at 10.30 A.M. on 00.00.00 with vomiting.
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.
There is seen a fairly large, approximately 7.5 x 4.5 x 5.5 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the right lentiform nucleus/external capsular region. This lesion appears relatively hypointense to normal white matter on the T1 Weighted images and represents a hyperacute to acute intracerebral hematoma. A perilesional, CSF signal intensity lesion is noted which may represent serum due to clot retraction. There is extension of this hematoma into the brainstem to the right of the midline (best appreciated on the FLAIR coronal images). Probable extension into the ventricular system is also noted.
There is effacement of the sulcal spaces in the cerebral hemispheres bilaterally (more on the right side) with effacement of the basal cisterns, compression of the right lateral and the third ventricles and shift of the midline structures to the right.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the left external capsular region/lentiform nucleus.
There is mild dilatation of the left lateral ventricle. The fourth ventricle is also effaced by the mass effect of the lesion in the brainstem.
No obvious vascular anomaly is identified on this study.
Incidentally noted is bilateral proptosis.
Inflammatory changes are noted in the maxillary sinuses bilaterally.
There appears to be slight inferior herniation of the cerebellar tonsils.
A fairly large, approximately 7.5 x 4.5 x 5.5 cms sized mass lesion in the right lentiform nucleus/external capsular region with mass effect as described, represents a hyperacute to acute intracerebral hematoma.