hs/bv/nl/rg.
Name of the Patient : Abc Xyzchandra Mhlmn / M / 74 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O intracerebral hematoma.
For follow-up.
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 T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a small area of hypointensity on the T2 Weighted and FLAIR images within the left thalamus. This is seen to bloom on the Fast Scan (T2 *) images and would represent residual hemosiderin, the result of a previous bleed. Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen adjacent to this lesion and within the cerebral peduncle and pons on the left side and would most likely represent gliotic changes. There is blunting of the left middle cerebral peduncle, probably as a result of Wallerian degeneration.
There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the periventricular white matter bilaterally, pons and in the bilateral centrum semiovale. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
Scan-00008
There is mild dilatation of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of :
1. Residual hemosiderin within the left thalamus with gliotic changes, the result of previos bleed.
2. Areas of altered signal within the periventricular white matter bilaterally, pons and in bilateral centrum semiovale most likely represent ischemic changes.
3. Mild dilatation of the third and both the lateral ventricles.
As compared to the previous MRI (study no:00006) dated 00.00.00, there is no significant increase in the ventricular size.