sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzyam lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzarwal.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

Operated for right sided body tumor on 00.00.00.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 3 mm thick FLAIR coronal images.

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

OBSERVATION :

There is an ill-defined, hyperintense signal on the T2 Weighted and FLAIR images along the gyri in the right temporo-parietal region, along the distribution of the right middle cerebral artery. This lesion appears hypointense on the T1 Weighted images. There is resultant effacement of the sulcal spaces in the right temporo-parietal region with indentation on the right lateral and third ventricle and mild shift of the midline structures to the left. Distortion of the upper brainstem axis is also noted.

The left lateral and the fourth ventricles are normal.

Inflammatory changes are noted in the left maxillary sinus.

INTRACRANIAL MRA :

There is non-visualization of the petrous, cavernous and supraclinoid segment of the right internal carotid artery. Faint visualization of the right middle cerebral artery and some of its Sylvian branches are noted.

The petrous, cavernous and supraclinoid segments of the left internal carotid artery show normal signal and calibre. The visualized anterior cerebral, left middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
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NECK MRA :

There is non-visualization of the entire right common carotid artery and the right external and internal carotid arteries. The right vertebral artery is unremarkable. The left common carotid artery and its bifurcation and the left vertebral artery are also unremarkable. There is no vessel wall irregularity of the visualized vessels.

IMPRESSION :

1. Altered signal in the right temporo-parietal cortex represents a recent cortical infarct .

2. Non-visualization of the right common carotid artery and the right internal and external carotid arteries with faint visualization of the right middle cerebral artery and some of its Sylvian branches.