sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzValmn / M / 64 yrs.
Referred by : Dr. Abc Xyzndalia.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O excessive sleep and forgetfulness since 2-3 years.

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 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 slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures.

Incidental note is made of mild inflammatory changes in the frontal sinus and ethmoidal air cells.

INTRACRANIAL MRA :

The anterior communicating artery on the left and the distal part of M2 segment of the left MCA appears narrow.

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, 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 :

Narrowing of the left anterior communicating artery and the distal part of M2 segment of the left MCA.