Date : 00.00.00
Name of the Patient : Abc Xyzk lmn / M / 40 yrs.
Referred by : Dr. Abc Xyzhauhan / Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall from a motorbike with head trauma at 8.30 pm 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 coronal images.
5 mm thick T1 Weighted sagittal images.
There is seen a very small, extracerebral (most likely extradural) hematoma in the left anterior temporal region with a maximum width of about 5.0 mms. This lesion is of intermediate signal on the T1 Weighted images and appears hyperintense on the proton and T2 Weighted images. Resultant minimal indentation on the left anterior temporal pole is noted (scans 102.9, 103.9, 104.9).
There is no focal area of abnormal signal intensity within the brain parenchyma per se.
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.
Inflammatory changes are noted in the ethmoidal air cells and maxillary sinuses bilaterally.
A very small extracerebral (most likely extradural) hematoma in the left anterior temporal region with a maximum width of about 5.0 mms.