ke/bv/nl/rg.

Name of the Patient : Abc Xyz D. lmn / M / 22 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O RTA followed with bleed and semi-unconciousness.

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 is a subtle hyperintense signal in the inferior frontal cortex (se/im:207/17) bilaterally and the right temporal lobe on the Flair images and would represent contusions in the given clinical setting of trauma.

Fractures of the posterior parietal bone bilaterally are seen.
Small sliver of extracerebral collection is seen to overlie both cerebral hemisphere which is hyperintense on all the pulse sequences.

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 air-fluid level in the maxillary and sphenoid sinuses probably hemorrhage.

Incidentally noted is subgaleal contusion/edema in the posterior parietal lobes bilaterally.


IMPRESSION :

1. Altered signal in the inferior frontal cortex bilaterally and right temporal cortex would represent contusions in the given clinical setting of trauma.

2. Fractures of the posterior parietal bone bilaterally with small extracerebral collections overlying both cerebral hemispheres.

3. Air-fluid level in the maxillary and sphenoid sinuses represents hemorrhage.