Name of the Patient : Abc Xyzang Kapalmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden loss of consciousness at 11.30 am on 00.00.0000.
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.
5 mm thick T1 Weighted sagittal images.
SOME IMAGES SHOW PATIENT MOTION.
There is evidence of a space-occupying lesion showing mixed signal characteristics on the proton, T2 Weighted and Flair images within the pons and measuring approximately 2.5 x 3.5 x 3.2 cms. It is hypointense on the T1 Weighted images and is seen to bloom on the Fast Scan (T2 *) images. This lesion would represent a hyperacute/acute hematoma. There is perilesional edema which is seen to extend into the midbrain and medulla. There is compression upon the aqueduct and fourth ventricle with resultant mild dilatation of the third and both the lateral ventricles. There is extension of this bleed into the lateral ventricles and probably into the cisterna magna. Also seen is effacement of the peripontine cisterns.
Lacunar infarcts (which are iso to hypointense to CSF) are seen within the lentiform nuclei and posterior capsular regions bilaterally and in the right fronto-temporal white matter.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The MRI features are suggestive of a hyperacute/acute hematoma measuring approximately 2.5 x 3.5 x 3.2 cms with resultant mild dilatation of the third and both the lateral ventricles with extension into the ventricular system as described.