sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz B. Palmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

Alleged H/O head injury in February 0000.
H/O left parietal burrhole for a subdural hematoma in September 0000.
C/O headaches with vomiting and giddiness since 7-8 days.
Known hypertensive.

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 no focal area of altered signal intensity within the brain parenchyma.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Site of previous burrhole is noted in the left parietal bone (scan 102.15).









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 left vertebral artery is seen to arise from the aortic arch.

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. Mild cerebral and cerebellar atrophy.

2. The left vertebral artery is seen to arise from the aortic arch.

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