sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Lakdalmn / F / 76 yrs.
Referred by : Dr. Abc Xyzakdawala.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O memory impairement since 1 1/2 months.
Known hypertensive.

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.

OBSERVATION :

There are ill-defined, hyperintense areas in the periatrial deep white matter on the T2 Weighted and FLAIR images which are ischemic in etiology.

There is slight fullness of both the lateral ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

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

Incidentally noted is an empty sella.

INTRACRANIAL MRA :

The vertebro-basilar system is ectatic.






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 in the neck appear tortuous. The carotid bifurcations are unremarkable. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

Altered signal in the periatrial deep white matter is ischemic in etiology.

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