Scribd
Upload
25 views3 pages

Sameer MRI

Docs

Uploaded by

burhanshaikh5678
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
25 views3 pages

Sameer MRI

Docs

Uploaded by

burhanshaikh5678
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

Krsnad

DIAG NOSTICS
LETS D0 GOOD.

Patient ID:HHSBT241200124349 Patient Name:SAMEER SHAIKH

Age:50 Years Sex:M


Accession Number:34052760 T8264 Modality:MR
Referring Physician:SELF |Study:MRIBRAIN ANGIO PLAIN
Study Date:19-Dec-2024

MRI BRAIN (PLAIN ) WITH MR ANGIOGRAPHY


PROTOCOL:
" Axial T1, T2 FSE, FLAIR
" Sagittal T1
" Coronal FLAIR
" DWI
. 3-D Time of Flight MR Angiography
CLINICAL BRIEF : H/0
LT SIDE HEMIPLEGIASINCE TODAY MORNING
HEADACHE/GIDDINESS
LT UL PAINA ND TINGLING
VOMITTING SINCE 2 DAYS
HTN ON RX 3 MONTHS

OBSERVATION:
cm (APxTRAxCC)
A large altered signal intensity lesion measuring approx 5.4x5.1x5.6
laterally upto insular
noted in right ganglio-thalamo-capsular regionupto extending
right half of midbrain, medially
region, superiorly into corona radiata, inferiorly
lateral ventricles, body of right lateral
extending into dependent part of both ventricle;
ventricle and extending and filling the 4th there is mild surrounding white
matter edema noted. Mass effect on right lateral ventricle and midline shift of 9mm
lesion appears
towards left. Minimal transfalcine herniation of uncus noted. The with central
heterogenously hyperintense on T2/FLAIR images, isointense on T1WI
GRE blooming; heterogenous diffusion
and peripheral and central patchy areas of There
restriction and signal drop on ADC images. is mild dilatation of ventricular
system noted.
frontoparietal lobes in
Grade I chronic small vessel ischemic changes in bilateral
deep and periventricular white matter.
Rest of the cerebral hemispheres show normal capsulesintensities of grey and white
are normal. Rest of
matter:. Rest of thalami, basal ganglia and internal
cerebral sulci are normal. The extra cerebral spaces are clear:
the C.P angles are clear.
The posterior fossa shows normal cerebellum. T Both
Krsndd
DIAGNOSTICS
LETS D0 GOOD.

Patient ID:HHSBT241200124349 Patient Name:SAMEER SHAIKH


Age:50 Years |Sex:M
Accession Number:34052760 T8264 Modality:MR
Referring Physician:SELF Study:MRI BRAIN ANGIO PLAIN
Study Date:19-Dec-2024

The medulla, pons and rest of midbrain show normal signals in both the sequences.
The basal cisterns are normal.
The orbits and the visualized sinuses appear normal. The pituitary gland and optic
chiasm are normal.

3-D Time of Flight MR Angiography through Circle of Willis:


The petrous, cavernous and supraclinoid portions of internal carotid arteries are
normal

incourse and calibre. No evidence of narrowing,


Patchy flow attenuation in M3, M4 segments of left middle cerebral artery, P3,4
segments of left posterior cerebral artery and A1 segments of both anterior
cerebral arteries-likely due to mass effect of adjacent parenchyma.
Rest of anterior, middle and posterior cerebral arteries are normal in course and
calibre.
The vertebral and basilar arteries are normal in course and calibre.
No evidence of aneurysm/ arterio-venous malformation.
Visualized neck vessels show normal flow signal.
IMPRESSION:
A large altered signal intensity lesion measuring approx 5.4x5.1x5.6 cm
(APxTRAxCC) noted in right ganglio-thalamo-capsular region extending
laterally upto insular region, superiorly into corona radiata, inferiorly upto
right half of midbrain, medially extending into dependent part of both lateral
ventricles, body of right lateral ventricle and extending and filling the 4th
ventricle; there is mild surrounding white matter edema noted. Mass effect on
right lateral ventricle and midline shift of 9mm towards left. Minimal
transfalcine herniation of uncus noted. The lesion appears heterogenously
hyperintense on T2/FLAIR images, isointense on T1WI with central and
rsnaa
AGNOSTICS
LETS DO GOOD

Patient Name:SAMEER SHAIKH


Patient ID:HHSBT241200124349
Age:50 Years Sex:M
Accession Number:34052760 T8264 Modality:MR
Referring Physician:SELF Study:MRIBRAIN ANGIO PLAIN
|Study Date:19-Dec-2024

patchy areas of GRE blooming; heterogenous diffusion


peripheral and central images. There is mild dilatation of
restriction and signal drop on ADC intraparenchymal
suggestive of acute
ventricular system noted. features are hypertensive etiology).
(likely of
hemorrhage with intraventricular extension lobes
chronic small vessel ischemic changes in bilateral frontoparietal
Grade I
white matter.
in deep and periventricular
MR angiography: artery, P3,4
attenuation in M3, M4 segments of left middle cerebral anterior
Patchy flow
posterior cerebral artery and A1 segments of both
segments of left of adjacent parenchyma.
cerebral arteries-likely due to mass effect

Dr Khushvant Magare
M.B.B.S M.D(Consultant Radiologist)
Date: 19-Dec-2024 12:54:34

You might also like