ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Ranglmn / F / 65 yrs,
Referred by : Dr. Abc Xyzerkar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O seizures since 1 1/2 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 a hyperintense area in the right temporo-occipital region on the T2 images and is isointense to CSF on the T1 Weighted images. There is resultant dilatation of the occipital horn and slight fullness of the temporal horn of the right lateral ventricle. This lesion would represent an area of cystic encephalomalacia.

There is prominence of the cerebellar folia bilaterally. There is mild prominence of the cerebral cortical sulci bilaterally.

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.

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 :

An area of cystic encephalomalacia in the right temporo-occipital region.

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