sb/hs/nl/rg.
/9 Date: 00.00.00

Name of the Patient : Abc Xyz G. Blmn / M / 68 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O giddiness and slurred speech for a day, 8 days back.
C/O neck pain radiating to BUE and BLE with tingling in the RUE and RLE since 8 days.

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 :

Small areas of hyperintensity on the T2 Weighted images are seen within the fronto-parietal white matter and periatrial white matter and are most likely ischemic in etiology.

There is slight fullness of both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

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

INTRACRANIAL MRA :

There is slight attenuation of flow signal in the right posterior cerebral artery. The right posterior communicating artery is well-visualized.

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 left 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 fusiform dilatation of the proximal left internal carotid artery with slight narrowing distal to it.

The right vertebral artery appears smaller in calibre as compared to the left and is probably hypoplastic.

The common carotid arteries appear normal bilaterally.

IMPRESSION :

1. Areas of altered signal within the fronto-parietal white matter and periatrial white matter are most likely ischemic in etiology.

2. Slight flow signal attenuation of the right posterior cerebral artery.

3. Fusiform dilatation of the proximal left internal carotid
artery with slight narrowing distal to it.