ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzM. Blmn / M / 19 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O RTA on 00.00.00.
For follow up.
No complaints at present.

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.

OBSERVATION :

There are hypointense areas on the T1 Weighted images in the inferior frontal lobes and anterior temporal lobes bilaterally which are seen to follow CSF signal intensity characteristics on all the pulse sequences. Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen at the periphery of these lesions which are hypointense to normal white matter on the T1 Weighted images and would represent area of gliosis. This lesion in toto would represent cystic encephalomalacia, the sequelae of previous haemorrhagic contusions.

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.








IMPRESSION :

The MRI features are suggestive of areas of cystic encephalomalacia in the inferior frontal lobes and anterior temporal lobes bilaterally, the sequelae of previous haemorrhagic contusion.

As compared to the previous MRI (Study No.00008) dated 00.00.00, the extradural hematoma as well as the subgaleal hematoma is no longer identified on this study.