ke/hs/nl/rg.
/89 Date : 00.00.00

Name of the Patient : Abc Xyzshi lmn / M / 62 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches, vomiting and giddiness since 1 day.
Known hypertensive.

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 and (Fast Scan *) coronal images.

5 mm thick T1 Weighted sagittal images.

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

OBSERVATION :

BRAIN :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the frontal, parietal and the periatrial deep white matter. These are isointense to white mater on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Scan-00007/89



INTRACRANIAL MRA :

The left vertebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The left vertebral artery in the neck is hypoplastic.

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. Small bright foci on the proton, T2 Weighted and FLAIR images in the frontal, parietal and the periatrial deep white matter are suggestive of areas of ischemia/infarction.

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