KE/HS/RG.
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 55 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O 2 episodes of momentary blackouts (1st episode 1 1/2 months back and 2nd episode 2 days back).
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 subtle hyperintense areas on the T2 Weighted images in the bilateral centrum semiovale and the left corona radiata. These are probably ischemic in etiology.

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

INTRACRANIAL MRA :

The left posterior communicating artery is seen to be continuing as the left posterior cerebral artery which shows slight vessel wall irregularity and slight attenuation in the flow signal.

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 artery also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
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NECK MRA :

Images show slight patient motion.

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

IMPRESSION :

The MRA features are suggestive of :

1. Altered signal in the bilateral centrum semiovale and the left corona radiata are most probably ischemic in etiology.

2. Slight vessel wall irregularity and slight attenuation of the flow signal of the left posterior cerebral artery.