Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History Left hemiparesis and seizure disorder. Exam Multiplanar MR imaging of the head was performed with standard T1-weighted and T2-weighted sequences from the vertex to the skull base. Prior Study MRI of the brain obtained 2 years ago. Dicom View Reference Material
Section 1 Submit Findings CB1425 Findings MR T1-w, pre or post There is evidence of extraaxial post traumatic injury (similar search pattern as head CT). Yes No There is evidence of intraaxial post traumatic injury (similar search pattern as head CT). Yes No There is evidence of brain injury of mixed ages highly concerning for NAT. Yes No MR flair, or T2w spin echo There are extraaxial, blood products. Yes No There is evidence of brain contusion(s). Yes No There is evidence of mass effect producing brain herniation(s). Yes No There are multiple sites of punctate edema or microhemorrhage within the white matter and/or along the gray-white subcortical junction/ within the corpus callosum, Centro nuclear structures, or brainstem consistent with brain shear acceleration-deceleration injury. Yes No There is vasogenic edema (and likely microhemorrhage) along egress pathways or cortical veins or the deep thalamostriate veins indicating venous tether injuries. Yes No There is evidence of abnormal fluid accumulation along the margin of any major artery suggesting para arterial hematoma without intimal dissection-(Denver type 1 arterial injury). Yes No There is evidence of abnormal fluid signal along the margin of any major artery with evidence of intimal flap or pseudoaneurysm confirming traumatic arterial dissection. Yes No There is cytogenic edema in a recognizable arterial perfusion zone consistent with stroke superimposed on the traumatic injuries. Yes No There is abnormal MR flair signal within the lumen of any major cortical vein or dural sinus suggesting venous egress thrombosis. Yes No There is evidence of ventriculomegaly with subependymal edema indicating hydrocephalus (likely caused by SAH (which may not be evident) or sequestered ventricles. Yes No MR susceptibility (SWI) There is SWI evidence of abnormal susceptiblity artifact associated with extraaxial/ intraaxial/ intraventricular or subependymal/ subpial blood products. Yes No N/A There is SWI evidence of parenchymal linear susceptiblity artifact following a cortical vein consistent with venous tether injury and resultant brain laceration. Yes No N/A There is SWI evidence of a few, multiple, or even diffuse parenchymal punctate susceptiblity artifacts, especially in the subpial spaces, gray-white matter junction, major forceps corpus callosum, basal ganglia, thalamus, mesencephalon and central brain stem consistent with DAI. Yes No N/A There is SWI evidence of thrombus within the lumen (exhibiting blooming artifact) of any major cortical vein or dural sinus. Yes No N/A There is altered SWI appearance of the venocapillary pool and the deep venous system, either increased from dysautoregulation-related hyperemia or reduced from vasospasm. Yes No N/A MR diffusion (DWI & ADC maps) There is evidence of positive MR-diffusion but negative ADC (edema shine-through effect) associated with intraaxial parenchymal injury not evident on CT or other MR sequences. Yes No There is evidence of positive MR-diffusion and ADC (actual positive restriction) in areas of post traumatic or hypoxic cytogenic edema or intercurrent arterial occlusion. Yes No The distrubution of the positive sites on the DWI are consistent with a single trauma vector versus vectors of different directions (shaking) in NAI patients. Yes No There is positive diffusion and positive ADC associated with intraaxial parenchymal injury and local ischemic effects not evident on CT or other MR sequences. This is especially evident in infants (< 1 year old) with NAI. Yes No There is evidence of concurrent abnormalities not likely related to recent brain injury. Yes No MRA There is evidence of major arterial post traumatic dissection. Yes No N/A There is evidence of pial or meningeal arterial entrapment in a fracture. Yes No N/A There is evidence of major arterial post traumatic injury producing a pseudoaneurysm. Yes No N/A There is evidence of major arterial post traumatic injury producing a high or low flow AV fistula. Yes No N/A There is evidence of deformity (external compression) or thrombosis of a dural sinus. Yes No N/A There is evidence of concurrent abnormalities not likely related to recent brain injury. Yes No N/A