/81 Date : 00.00.00

Name of the Patient : Abc XyzViblmn / M / 57 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Brain and Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O headaches.

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.

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

OBSERVATION :

BRAIN :

Prominent Virchow-Robin spaces are noted within the centrum semiovale bilaterally.

Note is made of an empty sella.

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Mild inflammatory changes are seen in the right maxillary sinus and in the ethmoidal air cells.

INTRACRANIAL MRA :

The left posterior communicating artery is seen to continue as the left posterior cerebral artery.



- 2 -

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 arteries and right posterior cerebral artery 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 :

The MRI features are suggestive of an empty sella.

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