sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzg lmn / M / 52 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O increased blood pressure with tremors on the left side of body on the morning of 00.00.00.
No complains at present.

EXAMINATION :

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

OBSERVATION :

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 :

There is flattening of the left carotid bulb. A filling defect is noted along the posterior wall of the proximal segment of the left internal carotid artery, just distal to the left common carotid bifurcation, for a distance of about 1.0 cm. This most likely represents an atheromatous plaque. There is however, no significant stenosis of the vessel noted.

The right common carotid artery and its bifurcation and the vertebral arteries on either side are unremarkable.

IMPRESSION :

1. No significant abnormality is detected within intracranial MRA on this study.

2. An atheromatous plaque along the posterior wall of the proximal left internal carotid artery just distal to its bifurcation without stenosis.