hs/ke/rg/nl

Name of the Patient : Abc Xyzka Maheshlmn / F / 1 1/2 yrs.
Referred by : Dr. Abc XyzMehta / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O head injury on 00.00.0000.
Patient had a focal convulsion.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the splenium of the corpus callosum and this may represent diffuse axonal injury.

Hypointense areas on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen within both the inferior frontal lobes and left temporal lobe. These are seen to involve the cortex and would represent contusions. Hyperintense areas on the T1 Weighted images are seen within the left temporal lesion and would represent a small haemorrhagic component.

Slivers of hyperintensity on the T1 Weighted images are seen to lie below the temporal lobes and right frontal lobe and may represent very small extracerebral collections of blood.
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- 2 - Scan-00008


There is prominence of the CSF space overlying both frontal lobes (? subdural hygromas).

Both the 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.

Hypointense areas on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen within the right ear/mastoid air cells. This may represent blood (? CSF).

IMPRESSION :

In a known C/O trauma, the MRI features are suggestive of :

1. Diffuse axonal injury in the splenium of the corpus callosum.

2. Cortical contusions within both the inferior frontal lobes and left temporal lobe.

3. Sliver of extracerebral blood lying below the temporal lobes and right frontal lobe.