sb/hs/rg.
/6 Date : 00.00.00

Name of the Patient : Abc Xyzrai Bhilmn / M / 61 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O left sided hemiparesis with dysarthria in January 0000 which recovered in 3-4 days.
C/O mild weakness of the LUE and LLE (still persists).
Known hypertensive. On Rx.

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 is a focal hyperintense signal with a hypointense rim on the T2 Weighted images in the right thalamus. This lesion blooms on the Fast Scan (T2 *) images and represents residual haemosiderin, the sequelae of a previous right thalamic hematoma.

Prominent perivascular spaces are noted in the posterior parietal regions and lentiform nuclei bilaterally. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. The left cerebellar hemisphere appear slightly hypoplastic with a prominent left cerebellar cistern. The rest of the basal cisternal spaces are unremarkable. There is no shift of the midline structures.

A polyp is noted in the right maxillary antrum.
- 2 - scan-00004/6


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 :

There is slight ectasia of the visualized vessels of the neck.

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. Altered signal in the right thalamus represents residual haemosiderin, the sequalae of a previous right thalamic hematoma.

2. Ectasia of the neck vessels.

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