hs/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzd lmn / M / 56 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O left sided weakness.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

NECK MRA IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of an area of hyperintensity on the FLAIR and T2 Weighted images within the left postero-lateral aspect of the medulla.

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 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, 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 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.

IMPRESSION :

1. Altered signal in the postero-lateral aspect of the medulla most likely is ischemic in etiology (left lateral medullary infarct)

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