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sb/ke/rg/nl

Name of the Patient : Abc Xyz Almn / F / 58 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with imbalance since 00.00.0000.
Known diabetic/hypertensive. On Rx.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a fairly large, approximately 3.5 x 4.0 x 3.2 cms sized mass lesion in the posterior body and the splenium of the corpus callosum extending into the right posterior parietal parafalcine region. This lesion has a peripheral hyperintense rim with an isointense centre (as compared to the normal brain parenchyma) on the T1 Weighted images. On the proton and T2 Weighted images, the center of the lesion appears relatively hypointense, whereas the peripheral rim also appears relatively hypointense. There is mild perilesional edema with compression of the posterior bodies of the lateral ventricles bilaterally. There is extension of this lesion into the right lateral ventricle.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical and deep white matter in the frontal and parietal regions bilaterally. These lesions appear nearly isointense to normal white matter on the T1 Weighted images.



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There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is an empty sella.

IMPRESSION :

1. A fairly large, approximately 3.5 x 4.0 x 3.2 cms sized mass lesion in the posterior body and the splenium of the corpus callosum extending into the right posterior parietal parafalcine region follows the signal intensity of an acute to early subacute hematoma with extension into the right lateral ventricle.

2. Altered signal in the subcortical and deep white matter in the frontal and parietal regions bilaterally most likely represent ischemic changes.

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