sb/ke/nl/rg.
/24 Date : 00.00.00

Name of the Patient : Abc Xyzrth Jalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right sided hemiplegia with slurred speech since June 0000 from which patient has partially recovered.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal 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 images in the left thalamus, postero-laterally, extending into the left posterior capsular region and left corona radiata. This lesion appears hypointense on the T1 Weighted images and represents an old ischemic lesion.

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

Soft tissue lesion in the region of the adenoids is of ? etiology.

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.
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NECK MRA :

There is seen a filling defect along the postero-lateral wall of the proximal left internal carotid artery which most likely represents an atherosclerotic plaque. Resultant mild narrowing of the proximal left internal carotid artery is noted extending for about 1.0 cm distal to the left common carotid bifurcation.

The common carotid artery and its bifurcation and the vertebral arteries are unremarkable.

IMPRESSION :

1. Altered signal in the left thalamus, postero-laterally, extending into the left posterior capsular region and left corona radiata represent an old ischemic lesion.

2. An atherosclerotic plaque along the postero-lateral wall of the proximal left internal carotid artery with resultant mild narrowing of the vessel, proximally.