sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzRalmn / M / 46 yrs.
Referred by : Dr. Abc Xyzapadia / Dr. Abc Xyzpai.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right sided hemiparesis on 00.00.00 from which patient recovered within an hour.
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 :

Lacunar infarcts are noted in the left corona radiata extending into the left internal capsular region (into its genu and posterior limb) and in the left lentiform nucleus.

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

Inflammatory changes are noted in the paranasal sinuses.

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.
Scan-00004



NECK MRA :

There is seen a plaque along the postero-lateral wall of the proximal left internal carotid artery with resultant narrowing of the proximal 1.5 cm segment of the vessel. A suspicious plaque is also noted along the postero-lateral wall of the proximal right internal carotid artery just distal to the common carotid bifurcation.

The common carotid arteries and their extracranial branches and the vertebral arteries appear normal bilaterally.

IMPRESSION :

1. Lacunar infarcts in the left corona radiata extending into the left internal capsular region (into its genu and posterior limb) and in the left lentiform nucleus.

2. A plaque along the postero-lateral wall of the proximal left internal carotid artery with resultant narrowing of the proximal 1.5 cm segment of the vessel.

3. A suspicious plaque along the postero-lateral wall of the proximal right internal carotid artery just distal to the common carotid bifurcation.