sb/hs/nl/rg.
/00000 Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O weakness of the RUE and RLE since 00.00.00.
Known hypertensive.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.

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

OBSERVATION :

Lacunar infarcts (iso to hyperintense to CSF) are noted in the pons, left lentiform nucleus, right thalamus and in the left parietal deep white matter.

Ill-defined, hyperintense areas on the T2 Weighted images in the posterior parietal, periventricular white matter and centrum semiovale bilaterally most likely represent ischemic changes.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

There is slight decrease in calibre of the intracranial segment of the right internal carotid artery when compared to the left. The right vertebral artery and the A1 segment of the right anterior cerebral artery also appears hypoplastic.

- 2 - Scan-00008/00000


The petrous, cavernous and supraclinoid segments of the left internal carotid artery show normal signal and calibre. The visualized left 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.

NECK MRA :

The right vertebral artery in the neck also appears 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. Lacunar infarcts in the pons, left lentiform nucleus, right thalamus and in the left parietal deep white matter.

2. Altered signal in the posterior parietal, periventricular white matter and centrum semiovale bilaterally most likely represent ischemic changes.

3. Slight decrease in calibre of the intracranial segment of the right internal carotid artery when compared to the left, may be a normal variant.

4. Hypoplastic right vertebral artery and the A1 segment of the right anterior cerebral artery.