SB/KE/NL/RG.
Date : 00.00.00
Name of the Patient : Abc Xyzri Pusalmn / F / 55 yrs.
Referred by : Dr. Abc Xyznamiya.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O increased blood pressure on 00.00.00.
C/O headaches since 1 year.
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 small bright focus on the T2 Weighted images in the deep white matter in the right frontal region. This may represent an ischemic lesion.
There is mild fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
An empty sella is also noted.
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. Small bright focus in the deep white matter in the right frontal region may represent an ischemic lesion.
2. No significant abnormality is detected on the intracranial and neck MRA on this study.