ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznalmn / F / 80 yrs.
Referred by : Dr. Abc Xyzatil.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O severe vertigo since 10-12 days.
Known hypertensive.

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 are ill-defined, hyperintense areas in the periatrial deep white matter and posterior parietal periventricular white matter bilaterally, on the T2 Weighted images and are suggestive of areas of ischemia/infarction.

There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of an empty sella.

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/.





NECK MRA :

The right vertebral artery 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.

Incidental note is made of enlarged thyroid lobes which would require further evaluation.

IMPRESSION :

1. Areas of altered signal in the periatrial deep white matter and posterior parietal periventricular white matter are suggestive of areas of ischemia/infarction.

2. Mild cerebral and cerebellar atrophy.

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

4. Enlarged thyroid gland.