sb/hs/rg.
s Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O single episode of unresponsiveness for 15 minutes on 00.00.00.

EXAMINATION :

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

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

OBSERVATION :

There are small bright foci on the T2 Weighted and FLAIR images in the subcortical and deep white matter in the frontal and parietal regions bilaterally. These lesions most likely represent ischemic changes.

Mild fullness of both the lateral ventricles is noted. 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 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 :

Altered signal in the subcortical and deep white matter in the frontal and parietal regions bilaterally most likely represent ischemic changes.

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