/805 Date : 00.00.00
Name of the Patient : Abc XyzMhlmn / M / 26 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road traffic accident 15 days ago with LOC for 1 1/2 hours.
Also has slight memory impairment with dysarthria, weakness of BLE and blurred vision since then.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
There is seen a very small, extracerebral (most likely extradural) subacute hematoma in the left anterior temporal region with a maximum width of about 8.0 mms. This lesion is hyperintense on all the pulse sequences. Resultant minimal indentation on the left anterior temporal pole is noted.
There is an ill-defined, hyperintense signal on the proton and T2 Weighted images in the mid segment of the body of the corpus callosum (scans 00003-103.14, 102.14, 00005-102.8/9). This lesion appears hypointense to normal white matter on the T1 Weighted images.
The hippocampal complex is unremarkable on either side.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study (slow flow is noted in the left sigmoid sinus).
- 2 - Scan-00003/5
1. A very small, extracerebral (most likely extradural) subacute hematoma in the left anterior temporal region with a maximum width of about 8.0 mms.
2. Altered signal in the mid segment of the body of the corpus callosum is most likely a shearing injury in the given clinical setting.