ke/hs/nl/rg.
/00000 Date : 11/00.00.00

Name of the Patient : Abc Xyzal M. Gokalgalmn / M / 68 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right sided hemiplegia since 15 days.
Known hypertensive. On Rx.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted and Fast Scan (T2 *) axial images.

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

FEW IMAGES ESPECIALLY THE NECK MRA SHOW PATIENT MOTION.

OBSERVATION :

There is a well-defined area in the left thalamus extending superiorly into the left corona radiata. This lesion has a hyperintense periphery and a hypointense centre on the T1 Weighted images. This is seen to turn heterogeneously hypointense on the T2 Weighted and Fast Scan (T2 *) images. There is surrounding edema with mass effect and indentation upon the body of the left lateral and third ventricles with slight shift to the contralateral side.

There is slight fullness of the right lateral ventricle.

The fourth ventricle is normal. There is prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable.



- 2 - Scan-00000/00000

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 :

Image quality degraded due to patient motion, however no significant abnormality is detected on the Neck MRA.

The right vertebral artery in the neck is smaller as compared to the left.

IMPRESSION :

A subacute hematoma in the left thalamus extending superiorly into the left corona radiata with surrounding edema and mass effect as described.

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