hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Fernalmn / M / 94 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O weakness of the right side of the face and slurred speech.
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 :
Multiple hyperintense areas on the T2 Weighted images are seen within the basal ganglia and left corona radiata and these are most likey ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally. The fourth ventricle is normal. There is no shift of the midline structures.
The normal intraocular lens in the right globe is not seen. There appears to be pthysis bulbi on the left side.
INTRACRANIAL MRA :
There is slight attenuation of the flow signal in the right posterior cerebral artery.
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 artery also shows normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.
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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. Areas of altered signal intensity within the basal ganglia and the left corona radiata and these are most likely ischemic in etiology.
2. Slight attenuation of the flow signal in the right posterior cerebral artery.