匿名
匿名 發問於 健康疾病及病徵其他 - 疾病 · 5 年 前

撞過的 Brain MRI, 跪求幫下手

Clinical Information:

Left frontal hypodensity following head injury. No intracerebral hematoma in between. To r/o underlying lesion

Diagnosis

Left frontal hypodensity

Report:

Contrast MRI Brain:

Findings:

There is focal parenchymal loss in the left pre-central gyrus with widening of the sulcal space. Small area of mildly hyperintense signal in T2FLAIR sequence in the adjacent brain parenchyma can represent gliosis.

Abnormal high T2 signal lesion in the right frontal-parietal region with loss of gray-white matter differentiation. No definite contrast enhancement (except for traversing vessels). No restricted diffusion evident (T2 shine through seen in the ADC map). Features may represent gliosis from previous insult (e.g. contrecoup contusion injury pattern given the above observation of the left prefrontal parenchymal loss) in the clinical context.

No other focal parenchymal lesion in the rest of the brain.

No intracranial haemorrhage.

No hydrocephalus.

Rest of the intracranium is unremarkable

Conclusion:

1.Focal parenchymal loss in left pre-frontal gyrus with mild gliosis in adjacent brain parenchyma, location corresponds to the contusion injury seen in previous CT.

2.Abnormal T2 signal changes in the right frontal-parietal region probably represents gliosis changes which can be due to previous insult such as contrecoup contusion injury in this clinical context. This abnormality was not conspicuous in the initial post-trauma plain CT scans. Follow-up MRI may be considered if clinically indicated.

其實有無問題, 有無後遺症

更新:

完全吾識解. 可否大致翻譯

2 個解答

評分
  • 5 年 前
    最佳解答

    對比磁共振腦報告: 頭部左額葉區受傷。無顱內血腫。 在左前置中央前回與腦溝空間有輕度T2FLAIR高信號,代表有膠質細胞增生。 與灰白質分化損失右額頂葉區域異常高T2信號病灶,沒有明確的對比度增強。大腦其餘部分沒有實質病變存在。無顱內出血。無積水。在intracranium的其餘部分無異常。

    結論:

    在左側前額葉腦回有Focal實質損傷,其相鄰腦實質有輕度神經膠質增生,位置對應於挫傷區域,在臨床背景下神經膠質增生的變化異常並不顯眼,若有需要可再以MRI檢測。 以報告來看問題不大,看不出有後遺症。

  • Gary
    Lv 7
    5 年 前

    This can't be translated due to too many medical terms.

    However, it can be summarized as there are still damages to the brain.

    I would say it is way too soon to tell the condition.

    Follow-up will be needed.

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