ke/hs/nl/rg.
/00005 Date : 00.00.00

Name of the Patient : Abc Xyz Vallmn / M / 60 yrs.
Referred by : Dr. Abc XyzSheth.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O occasional giddiness with vomiting since 6 months.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

There are small hyperintense areas in the periventricular and fronto-parietal white matter on the T2 Weighted images and are most likely ischemic in etiology.

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

There is mild to moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.



NECK MRA :

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Areas of altered signal intensity in the periventricular and fronto-parietal white matter bilaterally are most likely ischemic in etiology.

2. No significant abnormality is detected on the intracranial and neck MRA on this study.