sb/hs/rg.
/06 Date : 00.00.00

Name of the Patient : Abc Xyzchandra Shlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O occasional headaches (left sided) since many years.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.

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

OBSERVATION :

There are well-marginated, hyperintense areas on the T2 Weighted images in the cerebellar hemispheres bilaterally. These lesions appear hypointense on the T1 Weighted images and represents areas of cystic encephalomalacia, probably the sequelae of a previous vascular insult.

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

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 :

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
..2/.





IMPRESSION :

1. Areas of cystic encephalomalcia in the cerebellar hemisphers bilaterally are most likely the sequelae of a previous vascular insult.

2. Mild cerebellar atrophy.

3. No significant abnormality is detected on the intracranial and neck MRA on this study.