sb/hs/rg/nl

Name of the Patient : Abc XyzDlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O giddiness with fall and LOC for 2-3 hours on 00.00.0000.
CT Scan s/o cerebellar hematoma.
For follow up.
Known 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 small, approximately 1.1 x 0.5 x 0.9 cms sized well-marginated, hyperintense lesion on all the pulse sequences in the cerebellar vermis. This lesion has a peripheral hypointense rim, more pronounced on the Fast Scan (T2 *) images.

There are small bright foci, best appreciated on the FLAIR coronal images in the subcortical white matter in the frontal regions bilaterally.

There is mild dilatation of both the lateral, third and the fourth ventricles. There is a hypointense signal, more pronounced on the proton and T2 Weighted images in the posterior third ventricle, acqueduct and proximal fourth ventricle which may suggest turbulent CSF flow.
Scan-00000



There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. An approximately 1.1 x 0.5 x 0.9 cms sized residual subacute hematoma in the cerebellar vermis.

2. Mild communicating hydrocephalus.