ke/sb/nl/nl
/41 Date : 00.00.00

Name of the Patient : Abc XyzRajadhyalmn / M / 59 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O momentary weakness on the left side with altered speech for few seconds 4 days back followed by momentary weakness on the right side 4 days back. Recovered.
C/O mild gait imbalance.
C/O tinnitus bilaterally.

EXAMINATION :

M.R.I. of the brain was performed using the following parameters:

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

3 mm thick T1 Weighted and T2 Weighted coronal images.

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

OBSERVATION :

BRAIN :

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

A prominent perivascular space is noted in the left lentiform nucleus.

The hippocampal complex is unremarkable on either side.



There is slight prominence of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci in the high parietal regions bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of pansinusitis.

INTRACRANIAL MRA :

The A1 segment of the right anterior communicating artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left 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 :

No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.