sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyze K. Bambhlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzghela / Dr. Abc Xyzstak.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O tremors in BUE with stiffening of the jaw and slurred speech (momentary) with headaches since 1 1/2 years.

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 :

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

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

INTRACRANIAL MRA :

The left vertebral artery appears hypoplastic.

There is slight concentric narrowing of an approximately 1.0 cms segment of the proximal left middle cerebral artery, beginning from the bifurcation of the left internal carotid artery. The distal M1 segment of the left middle cerebral artery and it Sylvian branches are unremarkable.
..2/.





The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, right 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 also appears hypoplastic.

The common carotid arteries and their bifurcations and the right vertebral artery appear normal. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. No significant abnormality is detected within the brain parenchyma.

2. Slight concentric narrowing of an approximately 1.0 cms segment of the proximal left middle cerebral artery, beginning from the bifurcation of the left internal carotid
cerebral artery.

3. Hypoplastic left vertebral artery.