sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 54 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O single episode of loss of consciousness for half a minute 6 months back.
Known hypertensive/diabetic.

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.

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 right maxillary sinus.

INTRACRANIAL MRA :

There is slight concentric narrowing of the cavernous and supraclinoid segments of the left internal carotid artery. The A1 segment of the left anterior cerebral artery is not well identified and is probably hypoplastic. Slight irregularity of the anterior cerebral arteries and some of the Sylvian branches of the left middle cerebral artery is noted.
Scan-00003


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

NECK MRA :

There is a small atheromatous plaque along the postero-medial wall of the proximal right internal carotid artery just at the bifurcation of right common carotid artery.

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

IMPRESSION :

1. Slight concentric narrowing of the cavernous and supraclinoid segments of the left internal carotid artery with slight irregularity of the anterior cerebral arteries and some of the Sylvian branches of the left middle cerebral artery, may be atherosclerotic in etiology.

2. A small atheromatous plaque along the postero-medial wall of the proximal right internal carotid artery just at the bifurcation of right common carotid artery.

3. No significant abnormality is detected in the brain parenchyma per se on this study.