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hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPardlmn / F / 60 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O sudden onset of convulsion on 00.00.00 followed by weakness of the left side of the body.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of a space-occupying lesion measuring approximately 3.2 x 3.0 x 2.8 cms within the right fronto-parietal lobes. This lesion is near isointense to gray matter on the T1 Weighted images and turns hypointense on the proton and T2 Weighted images with blooming on the Fast Scan (T2 *) images. This lesion would represent an acute bleed. Minimal perilesional edema is also noted. There is effacement of the sulci in this region.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the head of the left caudate nucleus and both lentiform nuclei.

Few hyperintense areas on the proton, T2 Weighted and FLAIR images are noted within the corona radiata and centrum semiovale bilaterally and left periatrial white matter. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.



There is mild fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of a space-occupying lesion measuring approximately 3.2 x 3.0 x 2.8 cms within the right fronto-parietal lobes and would represent an acute bleed with mass effect and surrounding edema.


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