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hs/ke/rg.

Name of the Patient : Abc Xyzaraj Almn / M / 61 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered sensorium since 2 days.

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 evidence of a space-occupying lesion having a diameter of approximately 2.5 cms within the left thalamus and left cerebral peduncle. This lesion is hypointense on all the pulse sequences and blooms on the Fast Scan (T2 *) images. It is seen to compress upon and shift the third ventricle to the right side. This lesion would represent an acute bleed.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the white matter in the fronto-parietal lobes bilaterally.

Hyperintense areas on the proton, T2 Weighted and FLAIR images
are seen within the periventricular white matter, white matter in the fronto-parietal lobes bilaterally and the left temporal lobe and are most likely ischemic in etiology.

There is evidence of a lesion which is near isointense to CSF on all the pulse sequences anterior to the left temporal lobe and may represent an arachnoid cyst.
..2/.







- 2 - Scan-00001


There is mild prominence of the cerebral cortical sulci bilaterally.

The fourth ventricle and the basal cisternal spaces are unremarkable.

IMPRESSION :

The MRI features are suggestive of an acute bleed measuring approximately 2.5 cms and located within the thalamus and cerebral peduncle on the left side.

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