ke/hs/nl/nl
/702 Date : 00.00.00

Name of the Patient : Abc Xyzam Jalmn / M / 60 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O tingling of the right half of the body since the morning of 00.00.00.
Known hypertensive.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick FLAIR coronal images and 5 mm thick T1 Weighted sagittal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

There are hyperintense areas on the T2 Weighted and FLAIR images
in the periatrial white matter, left more than right and are probably ischemic in etiology.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of left maxillary sinusitis and inflammatory changes in the region of the left middle ear.

INTRACRANIAL MRA :

The A1 segment of the left anterior cerebral artery and the left vertebral artery is hypoplastic.
Scan-00000/702



The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right 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 :

The left vertebral artery in the neck is also hypoplastic. It is seen to arise directly from the aortic arch.

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. Altered signal in the periatrial white matter, left more than right is probably ischemic in etiology.

2. The left vertebral artery is seen to arise from the aortic arch.

3. No other significant abnormality is detected on the intracranial and neck MRA on this study.