ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzha S. Tilmn / F / 48 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O fever with chills 15 days back with weakness of BLE.
C/O swaying while walking and slurred speech since 5 days.
H/O similar complaints in the 0000. Recovered.

EXAMINATION :

M.R.I. of the brain was performed using the following parameters:

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

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

OBSERVATION :

BRAIN :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the left corona radiata and centrum semiovale and in the fronto-parietal deep white matter bilaterally. These are isointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

There is slight prominence of the cerebellar folia with mild fullness of the fourth ventricle.

Both the lateral and third ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
..2/.






INTRACRANIAL MRA :

The left posterior communicating artery appears to be directly continuing as the posterior cerebral artery.

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.

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. Areas of ischemia/infarction in the left corona radiata and centrum semiovale and in the fronto-parietal deep white matter bilaterally.

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