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Name of the Patient : Abc Xyzw Minolmn / M / 69 yrs.
Referred by : Dr. Abc Xyzrdiwala.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left hemiparesis with drowsiness since the morning of 00.00.00.

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 seen a fairly large, 5.6 x 5.6 x 6.0 cms sized mass lesion in the right inferior frontal and frontal regions. This lesion is iso to hypointense to normal white matter on the T1 Weighted images and appears heterogeneously hyperintense on the T2 Weighted and FLAIR images, but blooms on the Fast Scan (T2 *) images. There is perilesional edema with sulcal space effacement, bulge of the anterior falx to the left and posterior displacement and splaying of the frontal horns of the lateral ventricles bilaterally.

There is volume loss in the left anterior temporal region which most likely sequelae of a previous vascular insult/contusion.

The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci in the left cerebral hemisphere and prominence of the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

Susceptibility artifacts are noted in the maxillary region, more on the left.
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IMPRESSION :

A fairly large, approximately 5.6 x 5.6 x 6.0 cms sized mass lesion in the right inferior frontal and frontal regions with mass effect as described most likely represent a hyperacute intracerebral hematoma.

The possibility of this lesion representing bleed in a tumor seems less likely.
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