ke/hs/rg/nbl
Date : 00.00.00

Name of the Patient : Abc Xyzan Shlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O raised blood pressure on 00.00.00 with slurred speech and weakness of BLE since then.
Known hypertensive.

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 hyperintense areas on the T2 Weighted images in the periventricular white matter, bilateral corona radiata and centrum semiovale and most likely represent ischemic changes.

Lacunar infarcts which are isointense to CSF on all the pulse sequences are seen within the lentiform nuclei, thalami and fronto-parietal deep white matter bilaterally.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. 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.
..2/.








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.

IMPRESSION :

1. Altered signal within the periventricular white matter, bilateral corona radiata and centrum semiovale represent ischemic changes.

2. Lacunar infarcts in the lentiform nuclei, thalami and fronto-parietal deep white matter bilaterally.

3. Mild cerebral and cerebellar atrophy.

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