ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzar Relmn / M / 68 yrs.
Referred by : Dr. Abc Xyzala.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O 3 episodes of deviation of the angle of the mouth with slurred speech since last one month.
Known 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 a hyperintense signal on the T2 Weighted images in the left corona radiata extending into the left centrum semiovale and may represent an area of ischemia.

There is an ill-defined, hyperintense signal on the T1 Weighted images in the left lentiform nucleus, which appears isointense to normal grey matter on the T2 Weighted images. This may represent paramagnetic substance deposition/calcification.

There is mild dilatation of both the lateral and third 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 mastoiditis.

INTRACRANIAL MRA :

The right vertebral artery is hypoplastic.
..2/.








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 :

There is slight narrowing of the internal carotid artery on the left side just distal to the common carotid bifurcation with a plaque along its postero-lateral wall.

The right vertebral artery in the neck is also hypoplastic.

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

IMPRESSION :

1. Altered signal in the left corona radiata extending into the left centrum semiovale may represent an area of ischemia.

2. Mild cerebral and cerebellar atrophy.

3. Slight narrowing of the internal carotid artery on the left side just distal to the left common carotid bifurcation with a plaque along its postero-lateral wall.

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