sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

C/O headaches since 3 months.
C/O vomiting since 4 days.

EXAMINATION :

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

MRV was performed using a 2D TOF technique.

OBSERVATION :

There is seen an ill-defined, hyperintense signal on the T2 Weighted images in the right temporal cortex and subcortical white matter. This lesion appears slightly hyperintense on the T1 Weighted images. Resultant mild indentation on the atrium of the right lateral ventricle is noted.

There is loss of normal flow void signal in the superior sagittal sinus and the right transverse and sigmoid sinuses on the spin-echo and Fast Spin-echo images. These sinuses show an intraluminal signal on the axial and sagittal images.

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

Mucosal thickening is noted in the left maxillary antrum.






INTRACRANIAL MRV :

There is loss of normal flow signal in the right transverse and sigmoid sinuses and in the posterior and anterior segment of the superior sagittal sinus. The left transverse sinus appears hypoplastic and shows normal flow signal. The straight sinus, vein of Galen and the internal cerebellar veins are unremarkable.

IMPRESSION :

1. Altered signal in the right temporal cortex and subcortical white matter most likely represents a haemorrhagic venous infarct(early subacute phase).

2. Loss of normal flow signal in the right transverse and sigmoid sinuses and in the posterior and anterior segments of the superior sagittal sinus suggests venous sinus thrombosis. The superior sagittal sinus is partially thrombosed/recanalized.