ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz J. Plmn / M / 30 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches (right sided) since 0000. No complaints for 3 years. Now similar complaints since 15 days.
H/O being operated for the right parietal ossifying fibroma in May 0000.

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 :

A right high parietal craniotomy is noted.

There is no focal area of altered signal intensity within the brain parenchyma.

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

Incidental note is made of inflammatory changes in the sphenoid sinus on the left side.
..2/.






INTRACRANIAL MRA :

The right vertebral artery appears slightly smaller in calibre
as compared to the left.

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 slightly smaller.

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. Post-operative status.

2. No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.