Date : 00.00.00
Name of the Patient : Abc Xyzi lmn / M / 49 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O weakness of the right side of the body with slurred speech and vomiting on 00.00.00 with loss of consciousness since the afternoon of 00.00.00.
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 is evidence of a mass lesion measuring approximately 3.0 x 3.0 x 4.5 cms within the left thalamus. It is iso to hypointense to brain parenchyma on the T1 Weighted images and turns predominantly hypointense on the proton and T2 Weighted images with blooming on the Fast Scan (T2 *) images. It is seen to extend into the left cerebral peduncle. There is compression upon the aqueduct, third ventricle and body of the left lateral ventricle with a shift of the midline to the right side. This lesion would represent an acute bleed.
This bleed is seen to extend into the ventricular system with presence of fluid-fluid levels within both occipital horns and blood clots within the fourth ventricle.
There is dilatation of the right lateral ventricle and the frontal and temporal horns of the left lateral ventricle. Also seen is slight effacement of the perimesencephalic and suprasellar cisterns.
There is slight inferior herniation of the cerebral tonsils.
Small bright areas on the proton, T2 Weighted and FLAIR images are seen within the white matter in the fronto-parietal lobes and are most likely ischemic in etiology.
There is no obvious vascular anomaly on this scan.
The MRI features are suggestive of an acute bleed measuring approximately 3.0 x 3.0 x 4.5 cms within the left thalamus with mass effect and intraventricular extension as described.