sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 24 yrs.
Referred by : Dr. Abc Xyz Chauhan.
Examination : Intracranial M.R.A. and M.R.V.

CLINICAL PROFILE :

C/O headaches with inability to bend neck downwards.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.
5 mm thick T1Weighted and T2 Weighted sagittal images.
Intracranial MRA and MRV was performed using 3D TOF and 2D TOF sequences respectively.

OBSERVATION :

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

The ventricular system and basal cisternal spaces are unremarkable. There is no midline shift.

Incidentally noted is a convex superior margin of the pituitary gland which may be normal for the patients age.

Linear intermediate signal is seen in the spinal canal at the C2 and C3 levels on the T1
Weighted images and is seen to turn hyperintense on the T2 Weighted images. This may represents blood. Further evaluation would be worthwhile to look for the cause of haemorrhage within the spinal canal.

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 right posterior cerebral arteries also show normal signal, calibre and wall margins. The posterior cerebral artery is seen to be prominent and continuous as the posterior communicating artery on the left side.

No obvious aneurysm or vascular malformation is identified.
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INTRACRANIAL MRV :

The left transverse and sigmoid sinuses appear hypoplastic. The rest of the dural venous sinuses are well visualized. The deep venous structures are also well identified. There is no evidence of venous sinus thrombosis on this study.

IMPRESSION :

Probable haemorrhage in the spinal canal at the C2 and C3 levels and need further evaluation.