ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzai Polmn / F / 70 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches, gait ataxia and drooping of the left eyelid since 2 days.
H/O fever since 10 days.
Known hypertensive.
H/O weakness of the RUE with altered speech 2 1/2 years back (has recovered).

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.

FEW NECK IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are hyperintense areas on the T2 Weighted images in the right temporo-occipital and the right high parietal region. Sulcal spaces are prominent in this region.

A small hyperintense focus on the T2 Weighted images seen in the midbrain posteriorly.

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

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





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

IMPRESSION :

1. Areas of encephalomalacia in the right temporo-occipital and the right high parietal region.

2. A focus of altered signal intensity in the midbrain posteriorly, is most likely ischemic in etiology.

3. Age related cerebral and cerebellar atrophy.

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