hs/ke/nl/nl
/56 Date : 00.00.00

Name of the Patient : Abc XyzPlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O road traffic accident with injury to the head six months back.
C/O sudden onset of paresthesias with weakness of the RUE for 2 days, 15 days back.

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 is no focal area of altered signal intensity within the brain parenchyma.

There is mild prominence of the cerebral cortical sulci bilaterally.

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 vertebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.



NECK MRA :

A small defect is seen at the posterior aspect of the proximal left internal carotid artery just distal to the bifurcation of the left common carotid artery.

The left vertebral artery is hypoplastic.

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

IMPRESSION :

The MRA features are suggestive of an atheromatous plaque at the posterior aspect of the proximal left internal carotid artery just distal to the bifurcation of the left common carotid artery.