hs/sb/nl/nl
/57 Date : 00.00.00

Name of the Patient : Abc XyzPoolmn / M / 57 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzzzare.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O dyspahgia since 3 weeks.
C/O weakness of BLE with slurred speech.

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 :

An area of hyperintensity on the T2 Weighted images is seen within the left corona radiata and left thalamus. Smaller similar areas are seen within the right thalamus, both lentiform nuclei and right corona radiata. These are isointense to CSF on the source images and would represent old infarcts.

There is fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces and the cerebral cortical sulci, Sylvian fissures and cerebellar folia bilaterally.

The fourth ventricle is normal. There is no shift of the midline structures.









INTRACRANIAL MRA :

There is narrowing and irregularity of the vessel walls of the supraclinoid and distal cavernous portions of both internal carotid arteries, proximal portions of the M1 segments of both middle cerebral arteries and the origin of both anterior cerebral arteries. Also seen is irregularity of the Sylvian branches of both middle cerebral arteries. Slight narrowing of the terminal segment of the right vertebral artery is noted. The posterior cerebral and basilar arteries are unremarkable.

NECK MRA :

There is ectasia of the neck vessels.

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

IMPRESSION :

The MRA features are suggestive of :

1. Old infarcts within the left corona radiata and left thalamus, the right thalamus, both lentiform nuclei and right corona radiata.

2. Narrowing and irregularity of the vessel walls of the supraclinoid and distal cavernous portions of both internal carotid arteries, proximal portions of the M1 segments of both middle cerebral arteries and the origin of both anterior cerebral arteries.

3. Irregularity of the Sylvian branches of both middle cerebral arteries.

4. Slight narrowing of the terminal segment of the right vertebral artery.