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Name of the Patient : Abc Xyz lmn / F / 13 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O RTA at 4.15 pm on 00.00.0000 with loss of consciousness.

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 small hyperintense areas on the FLAIR and T2 Weighted images along the grey matter in the right frontal region and temporal lobes bilaterally. These are hypointense to the grey matter on the T1 Weighted images and would represent cortical contusions in the given clinical setting (scans 102.7, 102.11, 106.8, 106.11, 106.16).

Small hyperintense areas are seen on the proton, T2 Weighted and Flair images in the frontal lobes bilaterally, subcortically posterior limb of the left internal capsule and the left cerebral peduncle. These are isointense to white matter on the T1 Weighted images and would represent diffuse axonal injury.

A small sliver of subdural collection is seen bilaterally in the temporo-parietal regions and left tentorial leaflet.

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.

Incidental note is made of subgaleal contusion/edema, in the left posterior parietal region with metallic susceptibility artifacts.

IMPRESSION :

1. Contusions along the grey matter in the right frontal lobe and temporal lobes bilaterally

2. Diffuse axonal injury in the frontal lobes bilaterally, posterior limb of the left internal capsule and the left cerebral peduncle.

3. A small sliver of subdural collections in the temporo-parietal regions, bilaterally and left tentorial leaflet.

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