sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzka Nlmn / F / 4 1/2 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O fall with unresponsiveness for half an hour and deviation of left eyelid towards inner side on 00.00.00 which is recovered now.

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 a small, approximately 4.0 mms diameter sized hypointense lesion on the T1 Weighted images in the right para-atrial region. This lesion appears hyperintense on the T2 Weighted images.

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 sphenoid sinus.

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.



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 :

A small, approximately 4.0 mms diameter sized lesion in the right para-atrial region is a ? prominent perivascular space, ?? lacune.

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