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hs/ke/rg/nl

Name of the Patient : Abc Xyzal Nlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzla / Dr. Abc Xyz.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O craniotomy on 00.00.0000 for cerebellar hematoma.
C/O sudden onset of pain at the nape of the neck and breathlessness followed by loss of consciousness.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

OBSERVATION :

There is evidence of an occipital craniotomy. Hyperintense areas on all the pulse sequences are seen within the right cerebellar hemisphere and would represent subacute blood. Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted and FLAIR images are seen adjacent to these and would represent edema.

An area of hypointensity on the T1 Weighted images which turns hyperintense on the T2 Weighted and FLAIR images is seen to involve the gyri in the right parieto-occipital lobes and is most likely ischemic in etiology.

A lacunar infarct (iso to hyperintense to CSF) is noted within the left corona radiata.

Note is made of a ventriculo-peritoneal shunt tube with the tip lying in the right lateral ventricle.
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- 2 - Scan-00006


The left 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.

Note is made of pansinusitis.

IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. Small amount of subacute blood in the right cerebellar hemisphere.

3. An area of altered signal within the right parieto-occipital lobes is most likely ischemic in etiology.
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