ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzP. Dlmn / M / 74 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O right hemiparesis in December 0000 which has recovered.
C/O weakness on the left side with speech disturbances and memory impairment since 15 days.
Known diabetic. On Rx.

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 :

There is a hypointense area in the right lentiform nucleus extending into the right corona radiata on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted images and would represent an old infarct.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

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

INTRACRANIAL MRA :

The right 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, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.



- 2 - scan-00006


NECK MRA :

The right vertebral artery in the neck also appears 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 :

An old infarct in the right lentiform nucleus extending into the right corona radiata.

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