sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzai Galmn / M / 74 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O momentary loss of vision of the left eye on 00.00.00, lasting for few seconds and recovered on its own. ? left sided TIA.

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 lacunar infarct in the right temporo-parietal region which is isointense to CSF on the T1 Weighted and T2 Weighted images.

Prominent perivascular spaces are noted in the fronto-parietal regions, bilaterally.

There is mild fullness of both the lateral and the third ventricles. There is slight prominence of the cerebral cortical sulci.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

The calibre of the left internal carotid artery in its cavernous and supraclinoid portion appears slightly smaller as compared to the right.
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Tortuousity of the vertebro-basilar system is noted.

The petrous segment 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 significant, concentric narrowing of an approximately 1.2 cm segment of the left internal carotid artery in the neck about 1.0 cm distal to the left common carotid bifurcation. The carotid bifurcations are however unremarkable on either side. The vertebral arteries in the neck are also unremarkable.

IMPRESSION :

1. A lacunar infarct in the right temporo-parietal region.

2. Calibre of the left internal carotid artery in its cavernous and supraclinoid portion appears slightly smaller as compared to the right.

3. Significant concentric narrowing of an approximately 1.2 cm segment of the left internal carotid artery in the neck, about 1.0 cm distal to the left common carotid bifurcation.